Wheelchair back cushion, 22 inches or wider 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 $394 is 4% above the median hospital's median price ($378), higher than 63% of the 592 hospitals reporting HCPCS E2612. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E2612 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	$216	$216	$177	82%	—	$39 – $393
2	Ucare mhcp fee schedule · both	$223	$223	$182	82%	—	$40 – $405
3	Blue Cross Blue Shield commercial fee schedule · both	$231	$231	$189	82%	—	$42 – $420
4	Blue Cross Blue Shield federal fee schedule · both	$231	$231	$189	82%	—	$42 – $420
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	$298	$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	$387	$387	—	—	—	$387 – $387
13	Blue Cross Blue Shield commercial fee schedule · outpatient	$394	$394	—	—	—	$394 – $394
14	Blue Cross Blue Shield medicaid fee schedule · outpatient	$394	$394	—	—	—	$394 – $394
15	Medica bold fee schedule · both	$680	$476	$289	61%	—	$68 – $680
16	Ucare ifp with fairview fee schedule · outpatient	$576	$479	$307	64%	—	$66 – $895
17	Medica choice without / elect fee schedule · both	$756	$529	$321	61%	—	$76 – $756
18	Medica city of st paul / essential uplan fee schedule · both	$756	$529	$321	61%	—	$76 – $756
19	Medica choice with fee schedule · both	$782	$547	$332	61%	—	$78 – $782
20	UnitedHealthcare commercial fee schedule · both	$703	$572	$296	52%	—	$80 – $803
21	Ucare ifp fee schedule · outpatient	$767	$638	$409	64%	—	$88 – $1.2k
22	Cigna commercial fee schedule · outpatient	$1.0k	$1.0k	$88	9%	—	$928 – $1.1k

Last updated: May 18, 2026

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