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
Scr c/v cyto,autosys and md
Maple Grove, MN
See all hospitals reporting HCPCS G0141 →Price type
Fairview Maple Grove Surgery Center’s median price of $28 is 2% above the median hospital's median price ($27), higher than 51% of the 985 hospitals reporting HCPCS G0141. 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, 24 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 | $14 | $14 | — | — | — | $14 – $14 |
| 2 | Blue Cross Blue Shield federal fee schedule · outpatient | $22 | $22 | — | — | — | $22 – $22 |
| 3 | Blue Cross Blue Shield commercial fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 4 | UnitedHealthcare medicare advantage fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Medica accessability fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 6 | Medica medicaid fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 8 | Ucare mhcp fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 9 | Blue Cross Blue Shield medicaid fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 10 | Medica ma non-snp fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 11 | Medica ma snp fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 12 | Medica prime solution fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 13 | Medica vantage fee schedule · both | $26 | $26 | — | — | — | $26 – $26 |
| 14 | Cigna commercial fee schedule · both | $32 | $32 | $3 | 9% | — | $29 – $34 |
| 15 | Ucare ifp with fairview fee schedule · both | $63 | $63 | — | — | — | $63 – $63 |
| 16 | Cigna commercial fee schedule · outpatient | $66 | $66 | $6 | 9% | — | $61 – $72 |
| 17 | Ucare ifp fee schedule · both | $67 | $67 | — | — | — | $67 – $67 |
| 18 | UnitedHealthcare commercial fee schedule · both | $69 | $69 | — | — | — | $69 – $69 |
| 19 | Medica bold fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
| 20 | Blue Cross Blue Shield federal fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 21 | Medica choice without / elect fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 22 | Medica city of st paul / essential uplan fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 23 | Blue Cross Blue Shield commercial fee schedule · both | $82 | $82 | — | — | — | $82 – $82 |
| 24 | Medica choice with fee schedule · both | $84 | $84 | — | — | — | $84 – $84 |
Last updated: May 18, 2026
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