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
Oxygen supplies stand/rack
Maple Grove, MN
See all hospitals reporting HCPCS E1355 →Price type
Fairview Maple Grove Surgery Center’s median price of $32 is 3% above the median hospital's median price ($31), higher than 64% of the 662 hospitals reporting HCPCS E1355. 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 | Blue Cross Blue Shield commercial fee schedule · both | $15 | $15 | $12 | 82% | — | $3 – $28 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $15 | $15 | $12 | 82% | — | $3 – $28 |
| 3 | Medica ma non-snp fee schedule · both | $32 | $22 | $14 | 62% | — | $3 – $32 |
| 4 | Medica ma snp fee schedule · both | $32 | $22 | $14 | 62% | — | $3 – $32 |
| 5 | Medica prime solution fee schedule · both | $32 | $22 | $14 | 62% | — | $3 – $32 |
| 6 | Medica vantage fee schedule · both | $32 | $22 | $14 | 62% | — | $3 – $32 |
| 7 | Cigna commercial fee schedule · both | $29 | $24 | $15 | 62% | — | $4 – $42 |
| 8 | Blue Cross Blue Shield federal fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 9 | Blue Cross Blue Shield commercial fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 10 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 11 | Medica bold fee schedule · both | $55 | $38 | $24 | 64% | — | $4 – $55 |
| 12 | UnitedHealthcare commercial fee schedule · both | $48 | $39 | $20 | 51% | — | $6 – $54 |
| 13 | Medica choice without / elect fee schedule · both | $61 | $42 | $27 | 64% | — | $4 – $61 |
| 14 | Medica city of st paul / essential uplan fee schedule · both | $61 | $42 | $27 | 64% | — | $4 – $61 |
| 15 | Medica choice with fee schedule · both | $63 | $44 | $28 | 64% | — | $4 – $63 |
| 16 | Ucare ifp with fairview fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 17 | Ucare ifp fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 18 | Cigna commercial fee schedule · outpatient | $82 | $82 | $7 | 9% | — | $75 – $89 |
Last updated: May 18, 2026
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