Heavy-duty wide wheelchair with detachable arms and footrests at Fairview Maple Grove Surgery Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Wheelchair wide w/ foot rest

Maple Grove, MN

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $1.3k is 721% above the median hospital's median price ($164), higher than 92% of the 569 hospitals reporting HCPCS E1093. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E1093 at Fairview Maple Grove Surgery Center

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	$237	$237	—	—	—	$237 – $237
2	Ucare ifp fee schedule · outpatient	$316	$316	—	—	—	$316 – $316
3	Blue Cross Blue Shield commercial fee schedule · both	$723	$723	$592	82%	—	$131 – $1.3k
4	Blue Cross Blue Shield federal fee schedule · both	$723	$723	$592	82%	—	$131 – $1.3k
5	Cigna commercial fee schedule · both	$702	$840	$732	87%	—	$81 – $1.9k
6	Medica ma non-snp fee schedule · both	$1.4k	$965	$581	60%	—	$143 – $1.4k
7	Medica ma snp fee schedule · both	$1.4k	$965	$581	60%	—	$143 – $1.4k
8	Medica prime solution fee schedule · both	$1.4k	$965	$581	60%	—	$143 – $1.4k
9	Medica vantage fee schedule · both	$1.4k	$965	$581	60%	—	$143 – $1.4k
10	Blue Cross Blue Shield federal fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
11	Blue Cross Blue Shield commercial fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
12	Blue Cross Blue Shield medicaid fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
13	Medica bold fee schedule · both	$1.9k	$1.3k	$778	58%	—	$249 – $1.9k
14	Medica choice without / elect fee schedule · both	$2.1k	$1.5k	$865	58%	—	$276 – $2.1k
15	Medica city of st paul / essential uplan fee schedule · both	$2.1k	$1.5k	$865	58%	—	$276 – $2.1k
16	Medica choice with fee schedule · both	$2.2k	$1.6k	$895	58%	—	$286 – $2.2k
17	UnitedHealthcare commercial fee schedule · both	$2.4k	$2.0k	$1.0k	52%	—	$281 – $2.8k
18	Cigna commercial fee schedule · outpatient	$3.7k	$3.7k	$323	9%	—	$3.4k – $4.0k

Last updated: May 18, 2026

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