Wheelchair with fixed 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 spec size w foot

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 $591 is 740% above the median hospital's median price ($70), higher than 90% of the 561 hospitals reporting HCPCS E1221. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E1221 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	$99	$99	—	—	—	$99 – $99
2	Ucare ifp fee schedule · outpatient	$132	$132	—	—	—	$132 – $132
3	Blue Cross Blue Shield commercial fee schedule · both	$302	$302	$247	82%	—	$55 – $550
4	Blue Cross Blue Shield federal fee schedule · both	$302	$302	$247	82%	—	$55 – $550
5	Medica ma non-snp fee schedule · both	$591	$414	$251	61%	—	$60 – $591
6	Medica ma snp fee schedule · both	$591	$414	$251	61%	—	$60 – $591
7	Medica prime solution fee schedule · both	$591	$414	$251	61%	—	$60 – $591
8	Medica vantage fee schedule · both	$591	$414	$251	61%	—	$60 – $591
9	Cigna commercial fee schedule · both	$553	$455	$284	62%	—	$67 – $802
10	Blue Cross Blue Shield federal fee schedule · outpatient	$508	$508	—	—	—	$508 – $508
11	Blue Cross Blue Shield commercial fee schedule · outpatient	$517	$517	—	—	—	$517 – $517
12	Blue Cross Blue Shield medicaid fee schedule · outpatient	$517	$517	—	—	—	$517 – $517
13	Medica bold fee schedule · both	$816	$579	$336	58%	—	$104 – $816
14	Medica choice without / elect fee schedule · both	$907	$643	$373	58%	—	$115 – $907
15	Medica city of st paul / essential uplan fee schedule · both	$907	$643	$373	58%	—	$115 – $907
16	Medica choice with fee schedule · both	$939	$666	$386	58%	—	$119 – $939
17	UnitedHealthcare commercial fee schedule · both	$1.0k	$855	$441	52%	—	$121 – $1.2k
18	Cigna commercial fee schedule · outpatient	$1.5k	$1.5k	$135	9%	—	$1.4k – $1.7k

Last updated: May 18, 2026

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See Wheelchair with fixed arms and footrests pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.