Wheelchair back cushion with positioning support 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

Pos back post/lat 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 $605 is 3% above the median hospital's median price ($585), higher than 72% of the 601 hospitals reporting HCPCS E2616. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E2616 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	$332	$332	$272	82%	—	$60 – $603
2	Ucare mhcp fee schedule · both	$342	$342	$280	82%	—	$62 – $621
3	Blue Cross Blue Shield commercial fee schedule · both	$344	$344	$281	82%	—	$63 – $625
4	Blue Cross Blue Shield federal fee schedule · both	$344	$344	$281	82%	—	$63 – $625
5	Medica ma non-snp fee schedule · both	$605	$423	$257	61%	—	$60 – $605
6	Medica ma snp fee schedule · both	$605	$423	$257	61%	—	$60 – $605
7	Medica prime solution fee schedule · both	$605	$423	$257	61%	—	$60 – $605
8	Medica vantage fee schedule · both	$605	$423	$257	61%	—	$60 – $605
9	Cigna commercial fee schedule · both	$557	$458	$286	62%	—	$68 – $807
10	Medica accessability fee schedule · both	$554	$554	—	—	—	$554 – $554
11	Medica medicaid fee schedule · both	$554	$554	—	—	—	$554 – $554
12	Blue Cross Blue Shield federal fee schedule · outpatient	$577	$577	—	—	—	$577 – $577
13	Blue Cross Blue Shield commercial fee schedule · outpatient	$587	$587	—	—	—	$587 – $587
14	Blue Cross Blue Shield medicaid fee schedule · outpatient	$587	$587	—	—	—	$587 – $587
15	Ucare ifp with fairview fee schedule · outpatient	$862	$709	$448	63%	—	$101 – $1.3k
16	Medica bold fee schedule · both	$1.0k	$731	$443	61%	—	$104 – $1.0k
17	Medica choice without / elect fee schedule · both	$1.2k	$812	$492	61%	—	$116 – $1.2k
18	Medica city of st paul / essential uplan fee schedule · both	$1.2k	$812	$492	61%	—	$116 – $1.2k
19	Medica choice with fee schedule · both	$1.2k	$841	$510	61%	—	$120 – $1.2k
20	UnitedHealthcare commercial fee schedule · both	$1.1k	$875	$452	52%	—	$123 – $1.2k
21	Ucare ifp fee schedule · outpatient	$1.1k	$945	$597	63%	—	$135 – $1.7k
22	Cigna commercial fee schedule · outpatient	$1.6k	$1.6k	$136	9%	—	$1.4k – $1.7k

Last updated: May 18, 2026

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