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
Hhcp-svs of csw,ea 15 min
Maple Grove, MN
See all hospitals reporting HCPCS G0155 →Price type
Fairview Maple Grove Surgery Center’s median price of $131 is 20% above the median hospital's median price ($109), higher than 54% of the 240 hospitals reporting HCPCS G0155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 5 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 | Cigna commercial fee schedule · both | $120 | $120 | $10 | 9% | — | $110 – $131 |
| 5 | Cigna commercial fee schedule · outpatient | $253 | $253 | $22 | 9% | — | $231 – $275 |
Last updated: May 18, 2026
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