Adjustable wheelchair seat cushion for skin protection 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Adj skin pro w/c cus wd<22in

Maple Grove, MN

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $401 is 3% above the median hospital's median price ($388), higher than 69% of the 597 hospitals reporting HCPCS E2622. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E2622 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 commercial fee schedule · both	$198	$198	$162	82%	—	$36 – $360
2	Blue Cross Blue Shield federal fee schedule · both	$198	$198	$162	82%	—	$36 – $360
3	Blue Cross Blue Shield medicaid fee schedule · both	$220	$220	$180	82%	—	$40 – $400
4	Ucare mhcp fee schedule · both	$227	$227	$186	82%	—	$41 – $412
5	Medica ma non-snp fee schedule · both	$401	$281	$170	61%	—	$40 – $401
6	Medica ma snp fee schedule · both	$401	$281	$170	61%	—	$40 – $401
7	Medica prime solution fee schedule · both	$401	$281	$170	61%	—	$40 – $401
8	Medica vantage fee schedule · both	$401	$281	$170	61%	—	$40 – $401
9	Cigna commercial fee schedule · both	$370	$304	$189	62%	—	$45 – $535
10	Blue Cross Blue Shield federal fee schedule · outpatient	$332	$332	—	—	—	$332 – $332
11	Blue Cross Blue Shield commercial fee schedule · outpatient	$337	$337	—	—	—	$337 – $337
12	Blue Cross Blue Shield medicaid fee schedule · outpatient	$337	$337	—	—	—	$337 – $337
13	Medica accessability fee schedule · both	$368	$368	—	—	—	$368 – $368
14	Medica medicaid fee schedule · both	$368	$368	—	—	—	$368 – $368
15	Ucare ifp with fairview fee schedule · outpatient	$515	$423	$260	62%	—	$67 – $702
16	Medica bold fee schedule · both	$693	$485	$294	61%	—	$69 – $693
17	Medica choice without / elect fee schedule · both	$770	$539	$327	61%	—	$77 – $770
18	Medica city of st paul / essential uplan fee schedule · both	$770	$539	$327	61%	—	$77 – $770
19	Medica choice with fee schedule · both	$797	$558	$338	61%	—	$80 – $797
20	Ucare ifp fee schedule · outpatient	$686	$564	$347	62%	—	$89 – $936
21	UnitedHealthcare commercial fee schedule · both	$708	$577	$298	52%	—	$81 – $809
22	Cigna commercial fee schedule · outpatient	$1.0k	$1.0k	$90	9%	—	$944 – $1.1k

Last updated: May 18, 2026

Compare to other hospitals

See Adjustable wheelchair seat cushion for skin protection pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.