Continuous glucose monitor receiver at Fairview Maple Grove Surgery Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Non-adju cgm receiver/mon

Maple Grove, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $289 is about the same as the median hospital's median price ($290), higher than 49% of the 534 hospitals reporting HCPCS E2103. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E2103 at Fairview Maple Grove Surgery Center

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	$139	$139	$114	82%	—	$25 – $253
2	Blue Cross Blue Shield federal fee schedule · both	$139	$139	$114	82%	—	$25 – $253
3	Blue Cross Blue Shield medicaid fee schedule · both	$160	$160	$131	82%	—	$29 – $290
4	Ucare mhcp fee schedule · both	$164	$164	$134	82%	—	$30 – $297
5	Medica ma non-snp fee schedule · both	$289	$203	$123	61%	—	$29 – $289
6	Medica ma snp fee schedule · both	$289	$203	$123	61%	—	$29 – $289
7	Medica prime solution fee schedule · both	$289	$203	$123	61%	—	$29 – $289
8	Medica vantage fee schedule · both	$289	$203	$123	61%	—	$29 – $289
9	Cigna commercial fee schedule · both	$268	$220	$138	62%	—	$32 – $388
10	Blue Cross Blue Shield federal fee schedule · outpatient	$234	$234	—	—	—	$234 – $234
11	Blue Cross Blue Shield commercial fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
12	Blue Cross Blue Shield medicaid fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
13	Medica accessability fee schedule · both	$267	$267	—	—	—	$267 – $267
14	Medica medicaid fee schedule · both	$267	$267	—	—	—	$267 – $267
15	Ucare ifp with fairview fee schedule · outpatient	$380	$312	$193	62%	—	$48 – $533
16	Medica bold fee schedule · both	$503	$352	$213	61%	—	$50 – $503
17	Medica choice without / elect fee schedule · both	$559	$391	$237	61%	—	$56 – $559
18	Medica city of st paul / essential uplan fee schedule · both	$559	$391	$237	61%	—	$56 – $559
19	Medica choice with fee schedule · both	$578	$405	$245	61%	—	$58 – $578
20	Ucare ifp fee schedule · outpatient	$506	$416	$257	62%	—	$64 – $710
21	UnitedHealthcare commercial fee schedule · both	$538	$438	$226	52%	—	$62 – $615
22	Cigna commercial fee schedule · outpatient	$750	$750	$65	9%	—	$685 – $816

Last updated: May 18, 2026

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