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
Adm of pa/n assess 5-15 m
Maple Grove, MN
See all hospitals reporting HCPCS G0136 →Price type
Fairview Maple Grove Surgery Center’s median price of $10 is 72% below the median hospital's median price ($35), higher than 5% of the 908 hospitals reporting HCPCS G0136. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 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 | Medicaid medicaid fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
| 2 | Ucare mhcp fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
| 3 | Medica accessability fee schedule · both | $7 | $7 | — | — | — | $7 – $7 |
| 4 | Medica medicaid fee schedule · both | $7 | $7 | — | — | — | $7 – $7 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $7 | $7 | — | — | — | $7 – $7 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $8 | $8 | — | — | — | $8 – $8 |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · both | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Medica ma non-snp fee schedule · both | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Medica ma snp fee schedule · both | $9 | $9 | — | — | — | $9 – $9 |
| 10 | Medica prime solution fee schedule · both | $9 | $9 | — | — | — | $9 – $9 |
| 11 | Medica vantage fee schedule · both | $9 | $9 | — | — | — | $9 – $9 |
| 12 | Cigna commercial fee schedule · both | $11 | $11 | $1 | 9% | — | $10 – $12 |
| 13 | Ucare ifp with fairview fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 14 | Ucare ifp fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 15 | Medica bold fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 16 | UnitedHealthcare commercial fee schedule · both | $29 | $29 | — | — | — | $29 – $29 |
| 17 | Medica choice without / elect fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 19 | Blue Cross Blue Shield federal fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 20 | Blue Cross Blue Shield commercial fee schedule · both | $31 | $31 | — | — | — | $31 – $31 |
| 21 | Medica choice with fee schedule · both | $31 | $31 | — | — | — | $31 – $31 |
| 22 | Cigna commercial fee schedule · outpatient | $33 | $33 | $3 | 9% | — | $30 – $36 |
Last updated: May 18, 2026
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