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

Position back cush wd <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 $399 is 4% above the median hospital's median price ($383), higher than 71% of the 598 hospitals reporting HCPCS E2613. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E2613 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	$219	$219	$179	82%	—	$40 – $398
2	Blue Cross Blue Shield commercial fee schedule · both	$223	$223	$182	82%	—	$41 – $405
3	Blue Cross Blue Shield federal fee schedule · both	$223	$223	$182	82%	—	$41 – $405
4	Ucare mhcp fee schedule · both	$225	$225	$184	82%	—	$41 – $410
5	Medica ma non-snp fee schedule · both	$399	$279	$169	61%	—	$40 – $399
6	Medica ma snp fee schedule · both	$399	$279	$169	61%	—	$40 – $399
7	Medica prime solution fee schedule · both	$399	$279	$169	61%	—	$40 – $399
8	Medica vantage fee schedule · both	$399	$279	$169	61%	—	$40 – $399
9	Cigna commercial fee schedule · both	$367	$302	$188	62%	—	$45 – $532
10	Medica accessability fee schedule · both	$365	$365	—	—	—	$365 – $365
11	Medica medicaid fee schedule · both	$365	$365	—	—	—	$365 – $365
12	Blue Cross Blue Shield federal fee schedule · outpatient	$374	$374	—	—	—	$374 – $374
13	Blue Cross Blue Shield commercial fee schedule · outpatient	$380	$380	—	—	—	$380 – $380
14	Blue Cross Blue Shield medicaid fee schedule · outpatient	$380	$380	—	—	—	$380 – $380
15	Ucare ifp with fairview fee schedule · outpatient	$562	$462	$290	63%	—	$67 – $832
16	Medica bold fee schedule · both	$689	$482	$292	61%	—	$69 – $689
17	Medica choice without / elect fee schedule · both	$765	$536	$325	61%	—	$77 – $765
18	Medica city of st paul / essential uplan fee schedule · both	$765	$536	$325	61%	—	$77 – $765
19	Medica choice with fee schedule · both	$792	$554	$336	61%	—	$79 – $792
20	UnitedHealthcare commercial fee schedule · both	$696	$567	$293	52%	—	$80 – $796
21	Ucare ifp fee schedule · outpatient	$749	$616	$387	63%	—	$89 – $1.1k
22	Cigna commercial fee schedule · outpatient	$1.0k	$1.0k	$89	9%	—	$939 – $1.1k

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.