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
Wheelchair amputee w/o leg r
Maple Grove, MN
See all hospitals reporting HCPCS E1171 →Price type
Fairview Maple Grove Surgery Center’s median price of $998 is 748% above the median hospital's median price ($118), higher than 90% of the 571 hospitals reporting HCPCS E1171. 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 | $181 | $181 | — | — | — | $181 – $181 |
| 2 | Ucare ifp fee schedule · outpatient | $241 | $241 | — | — | — | $241 – $241 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $550 | $550 | $450 | 82% | — | $100 – $1.0k |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $550 | $550 | $450 | 82% | — | $100 – $1.0k |
| 5 | Medica ma non-snp fee schedule · both | $998 | $701 | $419 | 60% | — | $109 – $998 |
| 6 | Medica ma snp fee schedule · both | $998 | $701 | $419 | 60% | — | $109 – $998 |
| 7 | Medica prime solution fee schedule · both | $998 | $701 | $419 | 60% | — | $109 – $998 |
| 8 | Medica vantage fee schedule · both | $998 | $701 | $419 | 60% | — | $109 – $998 |
| 9 | Cigna commercial fee schedule · both | $1.0k | $828 | $517 | 62% | — | $123 – $1.5k |
| 10 | Blue Cross Blue Shield federal fee schedule · outpatient | $923 | $923 | — | — | — | $923 – $923 |
| 11 | Blue Cross Blue Shield commercial fee schedule · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $940 | $940 | — | — | — | $940 – $940 |
| 13 | Medica bold fee schedule · both | $1.4k | $981 | $560 | 57% | — | $189 – $1.4k |
| 14 | Medica choice without / elect fee schedule · both | $1.5k | $1.1k | $623 | 57% | — | $210 – $1.5k |
| 15 | Medica city of st paul / essential uplan fee schedule · both | $1.5k | $1.1k | $623 | 57% | — | $210 – $1.5k |
| 16 | Medica choice with fee schedule · both | $1.6k | $1.1k | $644 | 57% | — | $217 – $1.6k |
| 17 | UnitedHealthcare commercial fee schedule · both | $1.8k | $1.4k | $744 | 52% | — | $204 – $2.0k |
| 18 | Cigna commercial fee schedule · outpatient | $2.8k | $2.8k | $245 | 9% | — | $2.6k – $3.1k |
Last updated: May 18, 2026
See Wheelchair for amputees with fixed full-length arms pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.