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
Wheelchair spec sz spec ht b
Maple Grove, MN
See all hospitals reporting HCPCS E1228 →Price type
Fairview Maple Grove Surgery Center’s median price of $349 is 744% above the median hospital's median price ($41), higher than 91% of the 560 hospitals reporting HCPCS E1228. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $59 | $59 | — | — | — | $59 – $59 |
| 2 | Ucare ifp fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $178 | $178 | $146 | 82% | — | $32 – $324 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $178 | $178 | $146 | 82% | — | $32 – $324 |
| 5 | Medica ma non-snp fee schedule · both | $349 | $244 | $148 | 60% | — | $35 – $349 |
| 6 | Medica ma snp fee schedule · both | $349 | $244 | $148 | 60% | — | $35 – $349 |
| 7 | Medica prime solution fee schedule · both | $349 | $244 | $148 | 60% | — | $35 – $349 |
| 8 | Medica vantage fee schedule · both | $349 | $244 | $148 | 60% | — | $35 – $349 |
| 9 | Cigna commercial fee schedule · both | $326 | $268 | $167 | 62% | — | $40 – $472 |
| 10 | Blue Cross Blue Shield federal fee schedule · outpatient | $299 | $299 | — | — | — | $299 – $299 |
| 11 | Blue Cross Blue Shield commercial fee schedule · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $305 | $305 | — | — | — | $305 – $305 |
| 13 | Medica bold fee schedule · both | $482 | $341 | $198 | 58% | — | $61 – $482 |
| 14 | Medica choice without / elect fee schedule · both | $535 | $379 | $220 | 58% | — | $68 – $535 |
| 15 | Medica city of st paul / essential uplan fee schedule · both | $535 | $379 | $220 | 58% | — | $68 – $535 |
| 16 | Medica choice with fee schedule · both | $554 | $393 | $228 | 58% | — | $70 – $554 |
| 17 | UnitedHealthcare commercial fee schedule · both | $619 | $504 | $260 | 52% | — | $71 – $707 |
| 18 | Cigna commercial fee schedule · outpatient | $913 | $913 | $79 | 9% | — | $833 – $992 |
Last updated: May 18, 2026
See Wheelchair with special height backrest pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.