Adjustable wheelchair seat 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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Adj skin pro/pos wc cus>=22

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 $505 is 3% above the median hospital's median price ($489), higher than 67% of the 591 hospitals reporting HCPCS E2625. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E2625 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	$251	$251	$205	82%	—	$46 – $456
2	Blue Cross Blue Shield federal fee schedule · both	$251	$251	$205	82%	—	$46 – $456
3	Blue Cross Blue Shield medicaid fee schedule · both	$277	$277	$227	82%	—	$50 – $503
4	Ucare mhcp fee schedule · both	$285	$285	$233	82%	—	$52 – $519
5	Medica ma non-snp fee schedule · both	$505	$353	$214	61%	—	$50 – $505
6	Medica ma snp fee schedule · both	$505	$353	$214	61%	—	$50 – $505
7	Medica prime solution fee schedule · both	$505	$353	$214	61%	—	$50 – $505
8	Medica vantage fee schedule · both	$505	$353	$214	61%	—	$50 – $505
9	Cigna commercial fee schedule · both	$464	$382	$238	62%	—	$57 – $673
10	Blue Cross Blue Shield federal fee schedule · outpatient	$420	$420	—	—	—	$420 – $420
11	Blue Cross Blue Shield commercial fee schedule · outpatient	$428	$428	—	—	—	$428 – $428
12	Blue Cross Blue Shield medicaid fee schedule · outpatient	$428	$428	—	—	—	$428 – $428
13	Medica accessability fee schedule · both	$462	$462	—	—	—	$462 – $462
14	Medica medicaid fee schedule · both	$462	$462	—	—	—	$462 – $462
15	Ucare ifp with fairview fee schedule · outpatient	$652	$536	$330	62%	—	$84 – $896
16	Medica bold fee schedule · both	$871	$610	$370	61%	—	$87 – $871
17	Medica choice without / elect fee schedule · both	$968	$678	$411	61%	—	$97 – $968
18	Medica city of st paul / essential uplan fee schedule · both	$968	$678	$411	61%	—	$97 – $968
19	Medica choice with fee schedule · both	$1.0k	$701	$425	61%	—	$100 – $1.0k
20	Ucare ifp fee schedule · outpatient	$869	$715	$440	62%	—	$112 – $1.2k
21	UnitedHealthcare commercial fee schedule · both	$894	$728	$376	52%	—	$102 – $1.0k
22	Cigna commercial fee schedule · outpatient	$1.3k	$1.3k	$113	9%	—	$1.2k – $1.4k

Last updated: May 18, 2026

Compare to other hospitals

See Adjustable wheelchair seat 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.