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
Rgd ped wc adjstabl w/o seat
Maple Grove, MN
See all hospitals reporting HCPCS E1237 →Price type
Fairview Maple Grove Surgery Center’s median price of $2.1k is 717% above the median hospital's median price ($252), higher than 88% of the 581 hospitals reporting HCPCS E1237. 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 | $406 | $406 | — | — | — | $406 – $406 |
| 2 | Ucare ifp fee schedule · outpatient | $541 | $541 | — | — | — | $541 – $541 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $1.2k | $1.2k | $1.0k | 82% | — | $225 – $2.2k |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $1.2k | $1.2k | $1.0k | 82% | — | $225 – $2.2k |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $1.4k | $1.4k | $1.1k | 82% | — | $246 – $2.5k |
| 6 | Ucare mhcp fee schedule · both | $1.4k | $1.4k | $1.1k | 82% | — | $252 – $2.5k |
| 7 | Medica ma non-snp fee schedule · both | $2.1k | $1.5k | $855 | 59% | — | $245 – $2.1k |
| 8 | Medica ma snp fee schedule · both | $2.1k | $1.5k | $855 | 59% | — | $245 – $2.1k |
| 9 | Medica prime solution fee schedule · both | $2.1k | $1.5k | $855 | 59% | — | $245 – $2.1k |
| 10 | Medica vantage fee schedule · both | $2.1k | $1.5k | $855 | 59% | — | $245 – $2.1k |
| 11 | Cigna commercial fee schedule · both | $2.3k | $1.9k | $1.2k | 62% | — | $276 – $3.3k |
| 12 | Medica bold fee schedule · both | $2.8k | $2.0k | $1.1k | 56% | — | $425 – $2.8k |
| 13 | Blue Cross Blue Shield federal fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 14 | Blue Cross Blue Shield commercial fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 15 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 16 | Medica accessability fee schedule · both | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 17 | Medica medicaid fee schedule · both | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 18 | Medica choice without / elect fee schedule · both | $3.2k | $2.3k | $1.3k | 56% | — | $473 – $3.2k |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $3.2k | $2.3k | $1.3k | 56% | — | $473 – $3.2k |
| 20 | Medica choice with fee schedule · both | $3.3k | $2.3k | $1.3k | 56% | — | $489 – $3.3k |
| 21 | UnitedHealthcare commercial fee schedule · both | $3.7k | $3.0k | $1.5k | 52% | — | $420 – $4.2k |
| 22 | Cigna commercial fee schedule · outpatient | $6.4k | $6.4k | $552 | 9% | — | $5.8k – $6.9k |
Last updated: May 18, 2026
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