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.
Original text from hospital filings
Replace cover w/c seat cush
Maple Grove, MN
See all hospitals reporting HCPCS E2619 →Price type
Fairview Maple Grove Surgery Center’s median price of $63 is 5% above the median hospital's median price ($60), higher than 70% of the 606 hospitals reporting HCPCS E2619. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 commercial fee schedule · both | $31 | $31 | $25 | 82% | — | $6 – $56 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $31 | $31 | $25 | 82% | — | $6 – $56 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · both | $35 | $35 | $28 | 82% | — | $6 – $63 |
| 4 | Ucare mhcp fee schedule · both | $36 | $36 | $29 | 82% | — | $7 – $65 |
| 5 | Medica ma non-snp fee schedule · both | $63 | $44 | $27 | 61% | — | $6 – $63 |
| 6 | Medica ma snp fee schedule · both | $63 | $44 | $27 | 61% | — | $6 – $63 |
| 7 | Medica prime solution fee schedule · both | $63 | $44 | $27 | 61% | — | $6 – $63 |
| 8 | Medica vantage fee schedule · both | $63 | $44 | $27 | 61% | — | $6 – $63 |
| 9 | Cigna commercial fee schedule · both | $58 | $48 | $30 | 62% | — | $7 – $84 |
| 10 | Blue Cross Blue Shield federal fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 11 | Blue Cross Blue Shield commercial fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 13 | Medica accessability fee schedule · both | $58 | $58 | — | — | — | $58 – $58 |
| 14 | Medica medicaid fee schedule · both | $58 | $58 | — | — | — | $58 – $58 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $80 | $66 | $41 | 62% | — | $11 – $109 |
| 16 | Medica bold fee schedule · both | $109 | $76 | $46 | 61% | — | $11 – $109 |
| 17 | Medica choice without / elect fee schedule · both | $121 | $85 | $51 | 61% | — | $12 – $121 |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $121 | $85 | $51 | 61% | — | $12 – $121 |
| 19 | Medica choice with fee schedule · both | $126 | $88 | $53 | 61% | — | $13 – $126 |
| 20 | Ucare ifp fee schedule · outpatient | $107 | $88 | $54 | 62% | — | $14 – $145 |
| 21 | UnitedHealthcare commercial fee schedule · both | $111 | $90 | $47 | 52% | — | $13 – $127 |
| 22 | Cigna commercial fee schedule · outpatient | $163 | $163 | $14 | 9% | — | $149 – $177 |
Last updated: May 18, 2026
See Replacement cover for wheelchair cushion pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.