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 amputee w/ foot r

Maple Grove, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $1.3k is 732% above the median hospital's median price ($152), higher than 90% of the 571 hospitals reporting HCPCS E1180. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E1180 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	$249	$249	—	—	—	$249 – $249
2	Ucare ifp fee schedule · outpatient	$332	$332	—	—	—	$332 – $332
3	Blue Cross Blue Shield commercial fee schedule · both	$759	$759	$621	82%	—	$138 – $1.4k
4	Blue Cross Blue Shield federal fee schedule · both	$759	$759	$621	82%	—	$138 – $1.4k
5	Medica ma non-snp fee schedule · both	$1.3k	$891	$524	59%	—	$150 – $1.3k
6	Medica ma snp fee schedule · both	$1.3k	$891	$524	59%	—	$150 – $1.3k
7	Medica prime solution fee schedule · both	$1.3k	$891	$524	59%	—	$150 – $1.3k
8	Medica vantage fee schedule · both	$1.3k	$891	$524	59%	—	$150 – $1.3k
9	Cigna commercial fee schedule · both	$1.4k	$1.1k	$712	62%	—	$169 – $2.0k
10	Medica bold fee schedule · both	$1.7k	$1.2k	$698	56%	—	$261 – $1.7k
11	Blue Cross Blue Shield federal fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
12	Blue Cross Blue Shield commercial fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
13	Blue Cross Blue Shield medicaid fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
14	Medica choice without / elect fee schedule · both	$1.9k	$1.4k	$776	56%	—	$290 – $1.9k
15	Medica city of st paul / essential uplan fee schedule · both	$1.9k	$1.4k	$776	56%	—	$290 – $1.9k
16	Medica choice with fee schedule · both	$2.0k	$1.4k	$803	56%	—	$300 – $2.0k
17	UnitedHealthcare commercial fee schedule · both	$2.2k	$1.8k	$941	52%	—	$258 – $2.6k
18	Cigna commercial fee schedule · outpatient	$3.9k	$3.9k	$338	9%	—	$3.6k – $4.2k

Last updated: May 18, 2026

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