Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
W/c vent tray gimbaled
Maple Grove, MN
See all hospitals reporting HCPCS E1030 →Price type
Fairview Maple Grove Surgery Center’s median price of $1.4k is 836% above the median hospital's median price ($152), higher than 93% of the 604 hospitals reporting HCPCS E1030. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 22 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ucare ifp with fairview fee schedule · outpatient | $247 | $247 | $0 | 0% | — | $247 – $247 |
| 2 | Ucare ifp fee schedule · outpatient | $329 | $329 | $0 | 0% | — | $329 – $329 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $752 | $752 | $615 | 82% | — | $137 – $1.4k |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $752 | $752 | $615 | 82% | — | $137 – $1.4k |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $821 | $821 | $672 | 82% | — | $149 – $1.5k |
| 6 | Ucare mhcp fee schedule · both | $841 | $841 | $688 | 82% | — | $153 – $1.5k |
| 7 | Medica ma non-snp fee schedule · both | $1.5k | $1.0k | $623 | 61% | — | $149 – $1.5k |
| 8 | Medica ma snp fee schedule · both | $1.5k | $1.0k | $623 | 61% | — | $149 – $1.5k |
| 9 | Medica prime solution fee schedule · both | $1.5k | $1.0k | $623 | 61% | — | $149 – $1.5k |
| 10 | Medica vantage fee schedule · both | $1.5k | $1.0k | $623 | 61% | — | $149 – $1.5k |
| 11 | Cigna commercial fee schedule · both | $1.4k | $1.1k | $707 | 62% | — | $168 – $2.0k |
| 12 | Blue Cross Blue Shield federal fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 13 | Blue Cross Blue Shield commercial fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 14 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | Medica accessability fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 16 | Medica medicaid fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 17 | Medica bold fee schedule · both | $2.0k | $1.4k | $825 | 58% | — | $258 – $2.0k |
| 18 | Medica choice without / elect fee schedule · both | $2.2k | $1.6k | $916 | 58% | — | $287 – $2.2k |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $2.2k | $1.6k | $916 | 58% | — | $287 – $2.2k |
| 20 | Medica choice with fee schedule · both | $2.3k | $1.6k | $948 | 58% | — | $297 – $2.3k |
| 21 | UnitedHealthcare commercial fee schedule · both | $2.6k | $2.1k | $1.1k | 52% | — | $299 – $3.0k |
| 22 | Cigna commercial fee schedule · outpatient | $3.9k | $3.9k | $336 | 9% | — | $3.5k – $4.2k |
Last updated: May 18, 2026
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