Wheelchair with removable arms and elevating leg rests 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/ leg

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 $1.0k is 748% above the median hospital's median price ($119), higher than 91% of the 567 hospitals reporting HCPCS E1224. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E1224 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	$169	$169	—	—	—	$169 – $169
2	Ucare ifp fee schedule · outpatient	$226	$226	—	—	—	$226 – $226
3	Blue Cross Blue Shield commercial fee schedule · both	$516	$516	$423	82%	—	$94 – $939
4	Blue Cross Blue Shield federal fee schedule · both	$516	$516	$423	82%	—	$94 – $939
5	Medica ma non-snp fee schedule · both	$1.0k	$707	$428	60%	—	$102 – $1.0k
6	Medica ma snp fee schedule · both	$1.0k	$707	$428	60%	—	$102 – $1.0k
7	Medica prime solution fee schedule · both	$1.0k	$707	$428	60%	—	$102 – $1.0k
8	Medica vantage fee schedule · both	$1.0k	$707	$428	60%	—	$102 – $1.0k
9	Cigna commercial fee schedule · both	$945	$777	$485	62%	—	$115 – $1.4k
10	Blue Cross Blue Shield federal fee schedule · outpatient	$867	$867	—	—	—	$867 – $867
11	Blue Cross Blue Shield commercial fee schedule · outpatient	$882	$882	—	—	—	$882 – $882
12	Blue Cross Blue Shield medicaid fee schedule · outpatient	$882	$882	—	—	—	$882 – $882
13	Medica bold fee schedule · both	$1.4k	$989	$574	58%	—	$177 – $1.4k
14	Medica choice without / elect fee schedule · both	$1.5k	$1.1k	$638	58%	—	$197 – $1.5k
15	Medica city of st paul / essential uplan fee schedule · both	$1.5k	$1.1k	$638	58%	—	$197 – $1.5k
16	Medica choice with fee schedule · both	$1.6k	$1.1k	$660	58%	—	$204 – $1.6k
17	UnitedHealthcare commercial fee schedule · both	$1.8k	$1.5k	$753	52%	—	$206 – $2.0k
18	Cigna commercial fee schedule · outpatient	$2.6k	$2.6k	$230	9%	—	$2.4k – $2.9k

Last updated: May 18, 2026

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