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
Whlchr special size/constrc
Maple Grove, MN
See all hospitals reporting HCPCS E1220 →Price type
Fairview Maple Grove Surgery Center’s median price of $2 is 100% below the median hospital's median price ($1.6k), higher than 3% of the 145 hospitals reporting HCPCS E1220. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 7 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 | Cigna commercial fee schedule · both | $1 | $1 | $0 | 9% | — | $1 – $1 |
| 2 | Cigna commercial fee schedule · outpatient | $2 | $2 | $0 | 9% | — | $2 – $2 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $428 | $428 | $350 | 82% | — | $78 – $777 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $428 | $428 | $350 | 82% | — | $78 – $777 |
| 5 | Blue Cross Blue Shield federal fee schedule · outpatient | $777 | $777 | — | — | — | $777 – $777 |
| 6 | Blue Cross Blue Shield commercial fee schedule · outpatient | $791 | $791 | — | — | — | $791 – $791 |
| 7 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $791 | $791 | — | — | — | $791 – $791 |
Last updated: May 18, 2026
See Specialized wheelchair with custom sizing pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.