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
Care man h v ext pt 60 m
Maple Grove, MN
See all hospitals reporting HCPCS G0084 →Price type
Fairview Maple Grove Surgery Center’s median price of $242 is 30% above the median hospital's median price ($187), higher than 65% of the 497 hospitals reporting HCPCS G0084. 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, 20 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 medicaid fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 2 | Blue Cross Blue Shield federal fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 3 | Blue Cross Blue Shield commercial fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 4 | UnitedHealthcare medicare advantage fee schedule · both | $161 | $161 | — | — | — | $161 – $161 |
| 5 | Blue Cross Blue Shield medicare advantage fee schedule · both | $168 | $168 | — | — | — | $168 – $168 |
| 6 | Medica ma non-snp fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 7 | Medica ma snp fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 8 | Medica prime solution fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 9 | Medica vantage fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
| 10 | Cigna commercial fee schedule · both | $223 | $223 | $19 | 9% | — | $203 – $242 |
| 11 | Ucare ifp with fairview fee schedule · both | $425 | $425 | — | — | — | $425 – $425 |
| 12 | Ucare ifp fee schedule · both | $448 | $448 | — | — | — | $448 – $448 |
| 13 | Cigna commercial fee schedule · outpatient | $467 | $467 | $41 | 9% | — | $427 – $508 |
| 14 | Medica bold fee schedule · both | $513 | $513 | — | — | — | $513 – $513 |
| 15 | UnitedHealthcare commercial fee schedule · both | $541 | $541 | — | — | — | $541 – $541 |
| 16 | Medica choice without / elect fee schedule · both | $570 | $570 | — | — | — | $570 – $570 |
| 17 | Medica city of st paul / essential uplan fee schedule · both | $570 | $570 | — | — | — | $570 – $570 |
| 18 | Blue Cross Blue Shield federal fee schedule · both | $581 | $581 | — | — | — | $581 – $581 |
| 19 | Medica choice with fee schedule · both | $590 | $590 | — | — | — | $590 – $590 |
| 20 | Blue Cross Blue Shield commercial fee schedule · both | $591 | $591 | — | — | — | $591 – $591 |
Last updated: May 18, 2026
See Extended home care management visit, 60 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.