Replacement power wheelchair controller and electronics 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-expandable controller

Maple Grove, MN

See all hospitals reporting HCPCS E2375 →

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $587 is 488% above the median hospital's median price ($100), higher than 81% of the 599 hospitals reporting HCPCS E2375. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E2375 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	Ucare ifp with fairview fee schedule · outpatient	$162	$162	$19	12%	—	$143 – $181
2	Ucare ifp fee schedule · outpatient	$216	$216	$26	12%	—	$190 – $242
3	Medica ma non-snp fee schedule · both	$587	$420	$237	56%	—	$85 – $587
4	Medica ma snp fee schedule · both	$587	$420	$237	56%	—	$85 – $587
5	Medica prime solution fee schedule · both	$587	$420	$237	56%	—	$85 – $587
6	Medica vantage fee schedule · both	$587	$420	$237	56%	—	$85 – $587
7	Blue Cross Blue Shield medicaid fee schedule · both	$469	$469	$384	82%	—	$85 – $852
8	Ucare mhcp fee schedule · both	$483	$483	$395	82%	—	$88 – $878
9	Blue Cross Blue Shield commercial fee schedule · both	$511	$511	$418	82%	—	$93 – $929
10	Blue Cross Blue Shield federal fee schedule · both	$511	$511	$418	82%	—	$93 – $929
11	Cigna commercial fee schedule · both	$787	$647	$403	62%	—	$96 – $1.1k
12	Medica bold fee schedule · both	$1.1k	$754	$429	57%	—	$148 – $1.1k
13	Medica accessability fee schedule · both	$782	$782	—	—	—	$782 – $782
14	Medica medicaid fee schedule · both	$782	$782	—	—	—	$782 – $782
15	Medica choice without / elect fee schedule · both	$1.2k	$838	$477	57%	—	$164 – $1.2k
16	Medica city of st paul / essential uplan fee schedule · both	$1.2k	$838	$477	57%	—	$164 – $1.2k
17	Blue Cross Blue Shield federal fee schedule · outpatient	$856	$856	—	—	—	$856 – $856
18	Medica choice with fee schedule · both	$1.2k	$867	$493	57%	—	$170 – $1.2k
19	Blue Cross Blue Shield commercial fee schedule · outpatient	$871	$871	—	—	—	$871 – $871
20	Blue Cross Blue Shield medicaid fee schedule · outpatient	$871	$871	—	—	—	$871 – $871
21	UnitedHealthcare commercial fee schedule · both	$1.4k	$1.1k	$564	51%	—	$173 – $1.6k
22	Cigna commercial fee schedule · outpatient	$2.2k	$2.2k	$192	9%	—	$2.0k – $2.4k

Last updated: May 18, 2026

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