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
Man w/ch acc seat w>=20"<24"
Maple Grove, MN
See all hospitals reporting HCPCS E2201 →Price type
Fairview Maple Grove Surgery Center’s median price of $394 is 3% above the median hospital's median price ($382), higher than 62% of the 608 hospitals reporting HCPCS E2201. 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 medicaid fee schedule · both | $216 | $216 | $177 | 82% | — | $39 – $394 |
| 2 | Ucare mhcp fee schedule · both | $223 | $223 | $182 | 82% | — | $41 – $405 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $235 | $235 | $192 | 82% | — | $43 – $427 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $235 | $235 | $192 | 82% | — | $43 – $427 |
| 5 | Medica ma non-snp fee schedule · both | $394 | $276 | $167 | 61% | — | $39 – $394 |
| 6 | Medica ma snp fee schedule · both | $394 | $276 | $167 | 61% | — | $39 – $394 |
| 7 | Medica prime solution fee schedule · both | $394 | $276 | $167 | 61% | — | $39 – $394 |
| 8 | Medica vantage fee schedule · both | $394 | $276 | $167 | 61% | — | $39 – $394 |
| 9 | Cigna commercial fee schedule · both | $363 | $299 | $186 | 62% | — | $44 – $526 |
| 10 | Medica accessability fee schedule · both | $361 | $361 | — | — | — | $361 – $361 |
| 11 | Medica medicaid fee schedule · both | $361 | $361 | — | — | — | $361 – $361 |
| 12 | Blue Cross Blue Shield federal fee schedule · outpatient | $393 | $393 | — | — | — | $393 – $393 |
| 13 | Blue Cross Blue Shield commercial fee schedule · outpatient | $401 | $401 | — | — | — | $401 – $401 |
| 14 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $401 | $401 | — | — | — | $401 – $401 |
| 15 | Medica bold fee schedule · both | $681 | $477 | $289 | 61% | — | $68 – $681 |
| 16 | Ucare ifp with fairview fee schedule · outpatient | $577 | $486 | $313 | 64% | — | $66 – $917 |
| 17 | Medica choice without / elect fee schedule · both | $757 | $530 | $321 | 61% | — | $76 – $757 |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $757 | $530 | $321 | 61% | — | $76 – $757 |
| 19 | Medica choice with fee schedule · both | $783 | $548 | $332 | 61% | — | $78 – $783 |
| 20 | UnitedHealthcare commercial fee schedule · both | $686 | $559 | $289 | 52% | — | $78 – $784 |
| 21 | Ucare ifp fee schedule · outpatient | $769 | $648 | $417 | 64% | — | $88 – $1.2k |
| 22 | Cigna commercial fee schedule · outpatient | $1.0k | $1.0k | $88 | 9% | — | $928 – $1.1k |
Last updated: May 18, 2026
See Wheelchair seat frame, extra-wide (20 to under 24 inches) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.