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

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 $560 is 1% above the median hospital's median price ($554), higher than 56% of the 590 hospitals reporting HCPCS E2614. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E2614 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	$307	$307	$251	82%	—	$56 – $559
2	Ucare mhcp fee schedule · both	$316	$316	$259	82%	—	$58 – $575
3	Blue Cross Blue Shield commercial fee schedule · both	$318	$318	$260	82%	—	$58 – $578
4	Blue Cross Blue Shield federal fee schedule · both	$318	$318	$260	82%	—	$58 – $578
5	Medica ma non-snp fee schedule · both	$560	$392	$238	61%	—	$56 – $560
6	Medica ma snp fee schedule · both	$560	$392	$238	61%	—	$56 – $560
7	Medica prime solution fee schedule · both	$560	$392	$238	61%	—	$56 – $560
8	Medica vantage fee schedule · both	$560	$392	$238	61%	—	$56 – $560
9	Cigna commercial fee schedule · both	$516	$424	$264	62%	—	$63 – $747
10	Medica accessability fee schedule · both	$513	$513	—	—	—	$513 – $513
11	Medica medicaid fee schedule · both	$513	$513	—	—	—	$513 – $513
12	Blue Cross Blue Shield federal fee schedule · outpatient	$533	$533	—	—	—	$533 – $533
13	Blue Cross Blue Shield commercial fee schedule · outpatient	$542	$542	—	—	—	$542 – $542
14	Blue Cross Blue Shield medicaid fee schedule · outpatient	$542	$542	—	—	—	$542 – $542
15	Ucare ifp with fairview fee schedule · outpatient	$783	$643	$404	63%	—	$94 – $1.2k
16	Medica bold fee schedule · both	$967	$677	$410	61%	—	$97 – $967
17	Medica choice without / elect fee schedule · both	$1.1k	$752	$456	61%	—	$107 – $1.1k
18	Medica city of st paul / essential uplan fee schedule · both	$1.1k	$752	$456	61%	—	$107 – $1.1k
19	Medica choice with fee schedule · both	$1.1k	$778	$472	61%	—	$111 – $1.1k
20	UnitedHealthcare commercial fee schedule · both	$1.0k	$826	$427	52%	—	$116 – $1.2k
21	Ucare ifp fee schedule · outpatient	$1.0k	$858	$538	63%	—	$125 – $1.5k
22	Cigna commercial fee schedule · outpatient	$1.4k	$1.4k	$126	9%	—	$1.3k – $1.6k

Last updated: May 18, 2026

Compare to other hospitals

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.