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
Rig ped wc tltnspc w/o seat
Maple Grove, MN
See all hospitals reporting HCPCS E1233 →Price type
Fairview Maple Grove Surgery Center’s median price of $2.8k is 724% above the median hospital's median price ($335), higher than 88% of the 577 hospitals reporting HCPCS E1233. 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, 22 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 | $544 | $544 | — | — | — | $544 – $544 |
| 2 | Ucare ifp fee schedule · outpatient | $726 | $726 | — | — | — | $726 – $726 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $1.7k | $1.7k | $1.4k | 82% | — | $302 – $3.0k |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $1.7k | $1.7k | $1.4k | 82% | — | $302 – $3.0k |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $1.8k | $1.8k | $1.5k | 82% | — | $329 – $3.3k |
| 6 | Ucare mhcp fee schedule · both | $1.9k | $1.9k | $1.5k | 82% | — | $337 – $3.4k |
| 7 | Medica ma non-snp fee schedule · both | $2.8k | $1.9k | $1.1k | 59% | — | $328 – $2.8k |
| 8 | Medica ma snp fee schedule · both | $2.8k | $1.9k | $1.1k | 59% | — | $328 – $2.8k |
| 9 | Medica prime solution fee schedule · both | $2.8k | $1.9k | $1.1k | 59% | — | $328 – $2.8k |
| 10 | Medica vantage fee schedule · both | $2.8k | $1.9k | $1.1k | 59% | — | $328 – $2.8k |
| 11 | Cigna commercial fee schedule · both | $3.0k | $2.5k | $1.6k | 62% | — | $370 – $4.4k |
| 12 | Medica bold fee schedule · both | $3.8k | $2.7k | $1.5k | 56% | — | $570 – $3.8k |
| 13 | Blue Cross Blue Shield federal fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 14 | Blue Cross Blue Shield commercial fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 15 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 16 | Medica accessability fee schedule · both | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 17 | Medica medicaid fee schedule · both | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 18 | Medica choice without / elect fee schedule · both | $4.2k | $3.0k | $1.7k | 56% | — | $633 – $4.2k |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $4.2k | $3.0k | $1.7k | 56% | — | $633 – $4.2k |
| 20 | Medica choice with fee schedule · both | $4.4k | $3.1k | $1.8k | 56% | — | $655 – $4.4k |
| 21 | UnitedHealthcare commercial fee schedule · both | $4.9k | $4.0k | $2.1k | 52% | — | $563 – $5.6k |
| 22 | Cigna commercial fee schedule · outpatient | $8.5k | $8.5k | $740 | 9% | — | $7.8k – $9.2k |
Last updated: May 18, 2026
See Pediatric tilt-in-space wheelchair without seat system pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.