General use wheelchair seat cushion, narrow width 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

Gen w/c cushion wdth < 22 in

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 $49 is 4% above the median hospital's median price ($48), higher than 60% of the 613 hospitals reporting HCPCS E2601. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E2601 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 medicaid fee schedule · both	$27	$27	$22	82%	—	$5 – $49
2	Ucare mhcp fee schedule · both	$28	$28	$23	82%	—	$5 – $51
3	Blue Cross Blue Shield commercial fee schedule · both	$32	$32	$26	82%	—	$6 – $58
4	Blue Cross Blue Shield federal fee schedule · both	$32	$32	$26	82%	—	$6 – $58
5	Medica ma non-snp fee schedule · both	$49	$35	$21	61%	—	$5 – $49
6	Medica ma snp fee schedule · both	$49	$35	$21	61%	—	$5 – $49
7	Medica prime solution fee schedule · both	$49	$35	$21	61%	—	$5 – $49
8	Medica vantage fee schedule · both	$49	$35	$21	61%	—	$5 – $49
9	Cigna commercial fee schedule · both	$46	$37	$23	62%	—	$6 – $66
10	Medica accessability fee schedule · both	$45	$45	—	—	—	$45 – $45
11	Medica medicaid fee schedule · both	$45	$45	—	—	—	$45 – $45
12	Blue Cross Blue Shield federal fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
13	Blue Cross Blue Shield commercial fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
14	Blue Cross Blue Shield medicaid fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
15	Medica bold fee schedule · both	$85	$60	$36	61%	—	$9 – $85
16	Ucare ifp with fairview fee schedule · outpatient	$72	$65	$44	67%	—	$8 – $130
17	Medica choice without / elect fee schedule · both	$95	$66	$40	61%	—	$9 – $95
18	Medica city of st paul / essential uplan fee schedule · both	$95	$66	$40	61%	—	$9 – $95
19	Medica choice with fee schedule · both	$98	$69	$42	61%	—	$10 – $98
20	UnitedHealthcare commercial fee schedule · both	$94	$77	$40	52%	—	$11 – $108
21	Ucare ifp fee schedule · outpatient	$96	$87	$58	67%	—	$11 – $173
22	Cigna commercial fee schedule · outpatient	$127	$127	$11	9%	—	$116 – $138

Last updated: May 18, 2026

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