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, automated sys
Maple Grove, MN
See all hospitals reporting HCPCS G0147 →Price type
Fairview Maple Grove Surgery Center’s median price of $21 is 9% above the median hospital's median price ($19), higher than 71% of the 1,162 hospitals reporting HCPCS G0147. 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 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 3 | Medica accessability fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 4 | Medica medicaid fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $18 | $18 | — | — | — | $18 – $18 |
| 6 | Ucare mhcp fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 7 | Medica ma non-snp fee schedule · both | $19 | $19 | $0 | 0% | — | $19 – $19 |
| 8 | Medica ma snp fee schedule · both | $19 | $19 | $0 | 0% | — | $19 – $19 |
| 9 | Medica prime solution fee schedule · both | $19 | $19 | $0 | 0% | — | $19 – $19 |
| 10 | Medica vantage fee schedule · both | $19 | $19 | $0 | 0% | — | $19 – $19 |
| 11 | Blue Cross Blue Shield medicaid fee schedule · both | $19 | $19 | — | — | — | $19 – $19 |
| 12 | Blue Cross Blue Shield federal fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 13 | Blue Cross Blue Shield commercial fee schedule · outpatient | $21 | $21 | — | — | — | $21 – $21 |
| 14 | Cigna commercial fee schedule · both | $24 | $24 | $2 | 9% | — | $22 – $26 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 16 | Medica bold fee schedule · both | $33 | $34 | $0 | 0% | — | $33 – $34 |
| 17 | Ucare ifp fee schedule · both | $37 | $37 | — | — | — | $37 – $37 |
| 18 | Ucare ifp with fairview fee schedule · both | $37 | $37 | — | — | — | $37 – $37 |
| 19 | Medica choice without / elect fee schedule · both | $37 | $37 | $0 | 0% | — | $37 – $37 |
| 20 | Medica city of st paul / essential uplan fee schedule · both | $37 | $37 | $0 | 0% | — | $37 – $37 |
| 21 | Medica choice with fee schedule · both | $39 | $39 | $0 | 0% | — | $39 – $39 |
| 22 | UnitedHealthcare commercial fee schedule · both | $40 | $40 | — | — | — | $40 – $40 |
| 23 | Ucare ifp fee schedule · outpatient | $43 | $43 | — | — | — | $43 – $43 |
| 24 | Cigna commercial fee schedule · outpatient | $50 | $50 | $4 | 9% | — | $45 – $54 |
Last updated: May 18, 2026
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