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
Adju cgm receiver/monitor
Maple Grove, MN
See all hospitals reporting HCPCS E2102 →Price type
Fairview Maple Grove Surgery Center’s median price of $222 is 1% below the median hospital's median price ($225), higher than 48% of the 508 hospitals reporting HCPCS E2102. 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 | Blue Cross Blue Shield commercial fee schedule · both | $107 | $107 | $88 | 82% | — | $19 – $195 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $107 | $107 | $88 | 82% | — | $19 – $195 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · both | $123 | $123 | $100 | 82% | — | $22 – $223 |
| 4 | Ucare mhcp fee schedule · both | $126 | $126 | $103 | 82% | — | $23 – $228 |
| 5 | Medica ma non-snp fee schedule · both | $222 | $156 | $94 | 61% | — | $22 – $222 |
| 6 | Medica ma snp fee schedule · both | $222 | $156 | $94 | 61% | — | $22 – $222 |
| 7 | Medica prime solution fee schedule · both | $222 | $156 | $94 | 61% | — | $22 – $222 |
| 8 | Medica vantage fee schedule · both | $222 | $156 | $94 | 61% | — | $22 – $222 |
| 9 | Cigna commercial fee schedule · both | $206 | $170 | $106 | 62% | — | $25 – $299 |
| 10 | Blue Cross Blue Shield federal fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 11 | Blue Cross Blue Shield commercial fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 13 | Medica accessability fee schedule · both | $205 | $205 | — | — | — | $205 – $205 |
| 14 | Medica medicaid fee schedule · both | $205 | $205 | — | — | — | $205 – $205 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $277 | $227 | $140 | 62% | — | $37 – $369 |
| 16 | Medica bold fee schedule · both | $386 | $270 | $164 | 61% | — | $39 – $386 |
| 17 | UnitedHealthcare commercial fee schedule · both | $366 | $298 | $154 | 52% | — | $42 – $418 |
| 18 | Medica choice without / elect fee schedule · both | $429 | $300 | $182 | 61% | — | $43 – $429 |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $429 | $300 | $182 | 61% | — | $43 – $429 |
| 20 | Ucare ifp fee schedule · outpatient | $369 | $303 | $187 | 62% | — | $49 – $492 |
| 21 | Medica choice with fee schedule · both | $444 | $311 | $188 | 61% | — | $44 – $444 |
| 22 | Cigna commercial fee schedule · outpatient | $577 | $577 | $50 | 9% | — | $527 – $627 |
Last updated: May 18, 2026
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