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
Alcohol/subs interv 15-30mn
Maple Grove, MN
See all hospitals reporting HCPCS G0396 →Price type
Fairview Maple Grove Surgery Center’s median price of $32 is 22% below the median hospital's median price ($40), higher than 22% of the 1,059 hospitals reporting HCPCS G0396. 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, 25 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 | Ucare mhcp fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Medica accessability fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 3 | Medica medicaid fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 4 | Medicaid medicaid fee schedule · both | $24 | $24 | — | — | — | $24 – $24 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $29 | $29 | — | — | — | $29 – $29 |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 8 | Medica ma non-snp fee schedule · both | $32 | $32 | — | — | — | $32 – $32 |
| 9 | Medica ma snp fee schedule · both | $32 | $32 | — | — | — | $32 – $32 |
| 10 | Medica prime solution fee schedule · both | $32 | $32 | — | — | — | $32 – $32 |
| 11 | Medica vantage fee schedule · both | $32 | $32 | — | — | — | $32 – $32 |
| 12 | Cigna commercial fee schedule · outpatient | $33 | $33 | $3 | 9% | — | $30 – $36 |
| 13 | Cigna commercial fee schedule · both | $40 | $40 | $4 | 9% | — | $37 – $44 |
| 14 | Ucare ifp with fairview fee schedule · both | $77 | $77 | — | — | — | $77 – $77 |
| 15 | Ucare ifp fee schedule · both | $82 | $82 | — | — | — | $82 – $82 |
| 16 | Medica bold fee schedule · both | $92 | $92 | — | — | — | $92 – $92 |
| 17 | UnitedHealthcare commercial fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 18 | Medica choice without / elect fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 20 | Blue Cross Blue Shield federal fee schedule · both | $105 | $105 | — | — | — | $105 – $105 |
| 21 | Medica choice with fee schedule · both | $106 | $106 | — | — | — | $106 – $106 |
| 22 | Blue Cross Blue Shield commercial fee schedule · both | $107 | $107 | — | — | — | $107 – $107 |
| 23 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $162 | $162 | — | — | — | $162 – $162 |
| 24 | Blue Cross Blue Shield federal fee schedule · outpatient | $267 | $267 | — | — | — | $267 – $267 |
| 25 | Blue Cross Blue Shield commercial fee schedule · outpatient | $272 | $272 | — | — | — | $272 – $272 |
Last updated: May 18, 2026
See Alcohol and drug misuse screening with brief counseling pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.