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 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 $921 is 748% above the median hospital's median price ($109), higher than 91% of the 567 hospitals reporting HCPCS E1223. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E1223 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	$161	$161	—	—	—	$161 – $161
2	Ucare ifp fee schedule · outpatient	$214	$214	—	—	—	$214 – $214
3	Blue Cross Blue Shield commercial fee schedule · both	$490	$490	$401	82%	—	$89 – $890
4	Blue Cross Blue Shield federal fee schedule · both	$490	$490	$401	82%	—	$89 – $890
5	Medica ma non-snp fee schedule · both	$921	$647	$389	60%	—	$97 – $921
6	Medica ma snp fee schedule · both	$921	$647	$389	60%	—	$97 – $921
7	Medica prime solution fee schedule · both	$921	$647	$389	60%	—	$97 – $921
8	Medica vantage fee schedule · both	$921	$647	$389	60%	—	$97 – $921
9	Cigna commercial fee schedule · both	$899	$739	$461	62%	—	$109 – $1.3k
10	Blue Cross Blue Shield federal fee schedule · outpatient	$822	$822	—	—	—	$822 – $822
11	Blue Cross Blue Shield commercial fee schedule · outpatient	$837	$837	—	—	—	$837 – $837
12	Blue Cross Blue Shield medicaid fee schedule · outpatient	$837	$837	—	—	—	$837 – $837
13	Medica bold fee schedule · both	$1.3k	$904	$520	58%	—	$168 – $1.3k
14	Medica choice without / elect fee schedule · both	$1.4k	$1.0k	$578	58%	—	$187 – $1.4k
15	Medica city of st paul / essential uplan fee schedule · both	$1.4k	$1.0k	$578	58%	—	$187 – $1.4k
16	Medica choice with fee schedule · both	$1.5k	$1.0k	$598	58%	—	$194 – $1.5k
17	UnitedHealthcare commercial fee schedule · both	$1.6k	$1.3k	$687	52%	—	$188 – $1.9k
18	Cigna commercial fee schedule · outpatient	$2.5k	$2.5k	$219	9%	—	$2.3k – $2.7k

Last updated: May 18, 2026

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