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
Fld ped wc tltnspc w/o seat
Maple Grove, MN
See all hospitals reporting HCPCS E1234 →Price type
Fairview Maple Grove Surgery Center’s median price of $2.4k is 724% above the median hospital's median price ($291), higher than 87% of the 578 hospitals reporting HCPCS E1234. 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 | $474 | $474 | — | — | — | $474 – $474 |
| 2 | Ucare ifp fee schedule · outpatient | $632 | $632 | — | — | — | $632 – $632 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $1.4k | $1.4k | $1.2k | 82% | — | $263 – $2.6k |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $1.4k | $1.4k | $1.2k | 82% | — | $263 – $2.6k |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $1.6k | $1.6k | $1.3k | 82% | — | $287 – $2.9k |
| 6 | Ucare mhcp fee schedule · both | $1.6k | $1.6k | $1.3k | 82% | — | $294 – $2.9k |
| 7 | Medica ma non-snp fee schedule · both | $2.4k | $1.7k | $997 | 59% | — | $286 – $2.4k |
| 8 | Medica ma snp fee schedule · both | $2.4k | $1.7k | $997 | 59% | — | $286 – $2.4k |
| 9 | Medica prime solution fee schedule · both | $2.4k | $1.7k | $997 | 59% | — | $286 – $2.4k |
| 10 | Medica vantage fee schedule · both | $2.4k | $1.7k | $997 | 59% | — | $286 – $2.4k |
| 11 | Cigna commercial fee schedule · both | $2.6k | $2.2k | $1.4k | 62% | — | $322 – $3.8k |
| 12 | Medica bold fee schedule · both | $3.3k | $2.4k | $1.3k | 56% | — | $496 – $3.3k |
| 13 | Blue Cross Blue Shield federal fee schedule · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 14 | Blue Cross Blue Shield commercial fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 15 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 16 | Medica accessability fee schedule · both | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 17 | Medica medicaid fee schedule · both | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 18 | Medica choice without / elect fee schedule · both | $3.7k | $2.6k | $1.5k | 56% | — | $551 – $3.7k |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $3.7k | $2.6k | $1.5k | 56% | — | $551 – $3.7k |
| 20 | Medica choice with fee schedule · both | $3.8k | $2.7k | $1.5k | 56% | — | $571 – $3.8k |
| 21 | UnitedHealthcare commercial fee schedule · both | $4.3k | $3.5k | $1.8k | 52% | — | $491 – $4.9k |
| 22 | Cigna commercial fee schedule · outpatient | $7.4k | $7.4k | $645 | 9% | — | $6.8k – $8.1k |
Last updated: May 18, 2026
See Pediatric folding tilt-in-space wheelchair, no seat system pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.