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
SGD digitized pre-rec <=8min
Maple Grove, MN
See all hospitals reporting HCPCS E2500 →Price type
Fairview Maple Grove Surgery Center’s median price of $579 is 6% above the median hospital's median price ($546), higher than 75% of the 558 hospitals reporting HCPCS E2500. 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 | $279 | $279 | $228 | 82% | — | $51 – $507 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $279 | $279 | $228 | 82% | — | $51 – $507 |
| 3 | Medica ma non-snp fee schedule · both | $579 | $405 | $246 | 61% | — | $58 – $579 |
| 4 | Medica ma snp fee schedule · both | $579 | $405 | $246 | 61% | — | $58 – $579 |
| 5 | Medica prime solution fee schedule · both | $579 | $405 | $246 | 61% | — | $58 – $579 |
| 6 | Medica vantage fee schedule · both | $579 | $405 | $246 | 61% | — | $58 – $579 |
| 7 | Cigna commercial fee schedule · both | $536 | $441 | $275 | 62% | — | $65 – $777 |
| 8 | Blue Cross Blue Shield federal fee schedule · outpatient | $468 | $468 | — | — | — | $468 – $468 |
| 9 | Blue Cross Blue Shield commercial fee schedule · outpatient | $476 | $476 | — | — | — | $476 – $476 |
| 10 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $476 | $476 | — | — | — | $476 – $476 |
| 11 | Ucare ifp with fairview fee schedule · outpatient | $721 | $592 | $364 | 62% | — | $96 – $961 |
| 12 | Medica bold fee schedule · both | $1.0k | $704 | $427 | 61% | — | $101 – $1.0k |
| 13 | UnitedHealthcare commercial fee schedule · both | $870 | $708 | $366 | 52% | — | $99 – $994 |
| 14 | Medica choice without / elect fee schedule · both | $1.1k | $782 | $474 | 61% | — | $112 – $1.1k |
| 15 | Medica city of st paul / essential uplan fee schedule · both | $1.1k | $782 | $474 | 61% | — | $112 – $1.1k |
| 16 | Ucare ifp fee schedule · outpatient | $961 | $790 | $486 | 62% | — | $128 – $1.3k |
| 17 | Medica choice with fee schedule · both | $1.2k | $810 | $491 | 61% | — | $116 – $1.2k |
| 18 | Cigna commercial fee schedule · outpatient | $1.5k | $1.5k | $131 | 9% | — | $1.4k – $1.6k |
Last updated: May 18, 2026
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