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
Adj skin pro/pos cus<22in
Maple Grove, MN
See all hospitals reporting HCPCS E2624 →Price type
Fairview Maple Grove Surgery Center’s median price of $408 is 4% above the median hospital's median price ($392), higher than 70% of the 591 hospitals reporting HCPCS E2624. 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 | $200 | $200 | $164 | 82% | — | $36 – $364 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $200 | $200 | $164 | 82% | — | $36 – $364 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · both | $224 | $224 | $183 | 82% | — | $41 – $407 |
| 4 | Ucare mhcp fee schedule · both | $230 | $230 | $189 | 82% | — | $42 – $419 |
| 5 | Medica ma non-snp fee schedule · both | $408 | $285 | $173 | 61% | — | $41 – $408 |
| 6 | Medica ma snp fee schedule · both | $408 | $285 | $173 | 61% | — | $41 – $408 |
| 7 | Medica prime solution fee schedule · both | $408 | $285 | $173 | 61% | — | $41 – $408 |
| 8 | Medica vantage fee schedule · both | $408 | $285 | $173 | 61% | — | $41 – $408 |
| 9 | Cigna commercial fee schedule · both | $376 | $309 | $193 | 62% | — | $46 – $544 |
| 10 | Blue Cross Blue Shield federal fee schedule · outpatient | $336 | $336 | — | — | — | $336 – $336 |
| 11 | Blue Cross Blue Shield commercial fee schedule · outpatient | $342 | $342 | — | — | — | $342 – $342 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $342 | $342 | — | — | — | $342 – $342 |
| 13 | Medica accessability fee schedule · both | $373 | $373 | — | — | — | $373 – $373 |
| 14 | Medica medicaid fee schedule · both | $373 | $373 | — | — | — | $373 – $373 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $521 | $428 | $264 | 62% | — | $68 – $708 |
| 16 | Medica bold fee schedule · both | $704 | $493 | $299 | 61% | — | $70 – $704 |
| 17 | Medica choice without / elect fee schedule · both | $782 | $548 | $332 | 61% | — | $78 – $782 |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $782 | $548 | $332 | 61% | — | $78 – $782 |
| 19 | Medica choice with fee schedule · both | $810 | $567 | $344 | 61% | — | $81 – $810 |
| 20 | Ucare ifp fee schedule · outpatient | $694 | $571 | $351 | 62% | — | $91 – $943 |
| 21 | UnitedHealthcare commercial fee schedule · both | $718 | $585 | $302 | 52% | — | $82 – $821 |
| 22 | Cigna commercial fee schedule · outpatient | $1.1k | $1.1k | $91 | 9% | — | $960 – $1.1k |
Last updated: May 18, 2026
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.