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
Home sleep test/type 4 Porta
Maple Grove, MN
See all hospitals reporting HCPCS G0400 →Price type
Fairview Maple Grove Surgery Center’s median price of $146 is 52% below the median hospital's median price ($306), higher than 10% of the 1,193 hospitals reporting HCPCS G0400. 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, 20 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 | Medica ma non-snp fee schedule · both | $73 | $87 | $31 | 36% | — | $57 – $130 |
| 2 | Medica ma snp fee schedule · both | $73 | $87 | $31 | 36% | — | $57 – $130 |
| 3 | Medica prime solution fee schedule · both | $73 | $87 | $31 | 36% | — | $57 – $130 |
| 4 | Medica vantage fee schedule · both | $73 | $87 | $31 | 36% | — | $57 – $130 |
| 5 | Medica bold fee schedule · both | $114 | $136 | $49 | 36% | — | $90 – $204 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $126 | $140 | $52 | 37% | — | $85 – $210 |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · both | $131 | $146 | $54 | 37% | — | $88 – $219 |
| 8 | Medica choice without / elect fee schedule · both | $127 | $151 | $54 | 36% | — | $100 – $226 |
| 9 | Medica city of st paul / essential uplan fee schedule · both | $127 | $151 | $54 | 36% | — | $100 – $226 |
| 10 | Medica choice with fee schedule · both | $131 | $156 | $56 | 36% | — | $103 – $234 |
| 11 | Cigna commercial fee schedule · both | $171 | $191 | $73 | 38% | — | $105 – $311 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $226 | $226 | — | — | — | $226 – $226 |
| 13 | Blue Cross Blue Shield federal fee schedule · both | $311 | $311 | — | — | — | $311 – $311 |
| 14 | Blue Cross Blue Shield commercial fee schedule · both | $317 | $317 | — | — | — | $317 – $317 |
| 15 | UnitedHealthcare commercial fee schedule · both | $266 | $333 | $118 | 36% | — | $233 – $499 |
| 16 | Cigna commercial fee schedule · outpatient | $346 | $346 | $30 | 9% | — | $316 – $376 |
| 17 | Ucare ifp with fairview fee schedule · both | $331 | $370 | $138 | 37% | — | $223 – $555 |
| 18 | Blue Cross Blue Shield federal fee schedule · outpatient | $374 | $374 | — | — | — | $374 – $374 |
| 19 | Blue Cross Blue Shield commercial fee schedule · outpatient | $380 | $380 | — | — | — | $380 – $380 |
| 20 | Ucare ifp fee schedule · both | $349 | $389 | $145 | 37% | — | $235 – $584 |
Last updated: May 18, 2026
See Home sleep apnea test with portable monitor pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.