Wheelchair back cushion, under 22 inches wide 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 use back cush wdth <22in

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 $190 is about the same as the median hospital's median price ($191), higher than 47% of the 606 hospitals reporting HCPCS E2611. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E2611 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	$104	$104	$85	82%	—	$19 – $190
2	Ucare mhcp fee schedule · both	$107	$107	$88	82%	—	$20 – $195
3	Medica ma non-snp fee schedule · both	$190	$133	$81	61%	—	$19 – $190
4	Medica ma snp fee schedule · both	$190	$133	$81	61%	—	$19 – $190
5	Medica prime solution fee schedule · both	$190	$133	$81	61%	—	$19 – $190
6	Medica vantage fee schedule · both	$190	$133	$81	61%	—	$19 – $190
7	Cigna commercial fee schedule · both	$175	$144	$90	62%	—	$21 – $254
8	Blue Cross Blue Shield commercial fee schedule · both	$148	$148	$121	82%	—	$27 – $269
9	Blue Cross Blue Shield federal fee schedule · both	$148	$148	$121	82%	—	$27 – $269
10	Medica accessability fee schedule · both	$174	$174	—	—	—	$174 – $174
11	Medica medicaid fee schedule · both	$174	$174	—	—	—	$174 – $174
12	Medica bold fee schedule · both	$328	$230	$139	61%	—	$33 – $328
13	Blue Cross Blue Shield federal fee schedule · outpatient	$248	$248	—	—	—	$248 – $248
14	Blue Cross Blue Shield commercial fee schedule · outpatient	$252	$252	—	—	—	$252 – $252
15	Blue Cross Blue Shield medicaid fee schedule · outpatient	$252	$252	—	—	—	$252 – $252
16	Medica choice without / elect fee schedule · both	$365	$255	$155	61%	—	$36 – $365
17	Medica city of st paul / essential uplan fee schedule · both	$365	$255	$155	61%	—	$36 – $365
18	Medica choice with fee schedule · both	$377	$264	$160	61%	—	$38 – $377
19	Ucare ifp with fairview fee schedule · outpatient	$278	$302	$224	74%	—	$32 – $661
20	UnitedHealthcare commercial fee schedule · both	$418	$340	$176	52%	—	$48 – $477
21	Ucare ifp fee schedule · outpatient	$370	$402	$298	74%	—	$42 – $882
22	Cigna commercial fee schedule · outpatient	$490	$490	$43	9%	—	$448 – $533

Last updated: May 18, 2026

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See Wheelchair back cushion, under 22 inches wide pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.