Wheelchair arm support with overhead sling 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

Monosuspension arm/hand supp

Maple Grove, MN

See all hospitals reporting HCPCS E2630 →

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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 $813 is 2% above the median hospital's median price ($795), higher than 60% of the 598 hospitals reporting HCPCS E2630. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E2630 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	$428	$428	$350	82%	—	$78 – $778
2	Blue Cross Blue Shield federal fee schedule · both	$428	$428	$350	82%	—	$78 – $778
3	Blue Cross Blue Shield medicaid fee schedule · both	$446	$446	$365	82%	—	$81 – $811
4	Ucare mhcp fee schedule · both	$460	$460	$376	82%	—	$84 – $836
5	Medica ma non-snp fee schedule · both	$813	$569	$345	61%	—	$81 – $813
6	Medica ma snp fee schedule · both	$813	$569	$345	61%	—	$81 – $813
7	Medica prime solution fee schedule · both	$813	$569	$345	61%	—	$81 – $813
8	Medica vantage fee schedule · both	$813	$569	$345	61%	—	$81 – $813
9	Cigna commercial fee schedule · both	$749	$616	$384	62%	—	$91 – $1.1k
10	Blue Cross Blue Shield federal fee schedule · outpatient	$719	$719	—	—	—	$719 – $719
11	Blue Cross Blue Shield commercial fee schedule · outpatient	$731	$731	—	—	—	$731 – $731
12	Blue Cross Blue Shield medicaid fee schedule · outpatient	$731	$731	—	—	—	$731 – $731
13	Medica accessability fee schedule · both	$745	$745	—	—	—	$745 – $745
14	Medica medicaid fee schedule · both	$745	$745	—	—	—	$745 – $745
15	Ucare ifp with fairview fee schedule · outpatient	$1.1k	$874	$539	62%	—	$136 – $1.5k
16	Medica bold fee schedule · both	$1.4k	$983	$596	61%	—	$140 – $1.4k
17	Medica choice without / elect fee schedule · both	$1.6k	$1.1k	$662	61%	—	$156 – $1.6k
18	Medica city of st paul / essential uplan fee schedule · both	$1.6k	$1.1k	$662	61%	—	$156 – $1.6k
19	Medica choice with fee schedule · both	$1.6k	$1.1k	$685	61%	—	$161 – $1.6k
20	UnitedHealthcare commercial fee schedule · both	$1.4k	$1.2k	$599	52%	—	$163 – $1.6k
21	Ucare ifp fee schedule · outpatient	$1.4k	$1.2k	$718	62%	—	$181 – $2.0k
22	Cigna commercial fee schedule · outpatient	$2.1k	$2.1k	$182	9%	—	$1.9k – $2.3k

Last updated: May 18, 2026

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