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
Hemi-wheelchair detachable a
Maple Grove, MN
See all hospitals reporting HCPCS E1084 →Price type
Fairview Maple Grove Surgery Center’s median price of $1.2k is 748% above the median hospital's median price ($144), higher than 91% of the 569 hospitals reporting HCPCS E1084. 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, 18 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 | $205 | $205 | — | — | — | $205 – $205 |
| 2 | Ucare ifp fee schedule · outpatient | $273 | $273 | — | — | — | $273 – $273 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $624 | $624 | $511 | 82% | — | $113 – $1.1k |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $624 | $624 | $511 | 82% | — | $113 – $1.1k |
| 5 | Medica ma non-snp fee schedule · both | $1.2k | $855 | $518 | 61% | — | $123 – $1.2k |
| 6 | Medica ma snp fee schedule · both | $1.2k | $855 | $518 | 61% | — | $123 – $1.2k |
| 7 | Medica prime solution fee schedule · both | $1.2k | $855 | $518 | 61% | — | $123 – $1.2k |
| 8 | Medica vantage fee schedule · both | $1.2k | $855 | $518 | 61% | — | $123 – $1.2k |
| 9 | Cigna commercial fee schedule · both | $1.1k | $939 | $586 | 62% | — | $139 – $1.7k |
| 10 | Blue Cross Blue Shield federal fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 11 | Blue Cross Blue Shield commercial fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 12 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 13 | Medica bold fee schedule · both | $1.7k | $1.2k | $694 | 58% | — | $215 – $1.7k |
| 14 | Medica choice without / elect fee schedule · both | $1.9k | $1.3k | $771 | 58% | — | $238 – $1.9k |
| 15 | Medica city of st paul / essential uplan fee schedule · both | $1.9k | $1.3k | $771 | 58% | — | $238 – $1.9k |
| 16 | Medica choice with fee schedule · both | $1.9k | $1.4k | $798 | 58% | — | $247 – $1.9k |
| 17 | UnitedHealthcare commercial fee schedule · both | $2.2k | $1.8k | $910 | 52% | — | $249 – $2.5k |
| 18 | Cigna commercial fee schedule · outpatient | $3.2k | $3.2k | $278 | 9% | — | $2.9k – $3.5k |
Last updated: May 18, 2026
See Wheelchair with detachable arms and swing-away leg rests pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.