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
Inpt/tele follow up 35
Maple Grove, MN
See all hospitals reporting HCPCS G0408 →Price type
Fairview Maple Grove Surgery Center’s median price of $121 is 1% above the median hospital's median price ($119), higher than 51% of the 745 hospitals reporting HCPCS G0408. 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 | Medicaid medicaid fee schedule · both | $71 | $71 | — | — | — | $71 – $71 |
| 2 | Ucare mhcp fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 3 | Medica accessability fee schedule · both | $76 | $76 | — | — | — | $76 – $76 |
| 4 | Medica medicaid fee schedule · both | $76 | $76 | — | — | — | $76 – $76 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 8 | Medica ma non-snp fee schedule · both | $103 | $103 | — | — | — | $103 – $103 |
| 9 | Medica ma snp fee schedule · both | $103 | $103 | — | — | — | $103 – $103 |
| 10 | Medica prime solution fee schedule · both | $103 | $103 | — | — | — | $103 – $103 |
| 11 | Medica vantage fee schedule · both | $103 | $103 | — | — | — | $103 – $103 |
| 12 | Cigna commercial fee schedule · both | $132 | $132 | $11 | 9% | — | $121 – $144 |
| 13 | Blue Cross Blue Shield federal fee schedule · outpatient | $177 | $177 | — | — | — | $177 – $177 |
| 14 | Blue Cross Blue Shield commercial fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 15 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $180 | $180 | — | — | — | $180 – $180 |
| 16 | Ucare ifp with fairview fee schedule · both | $254 | $254 | — | — | — | $254 – $254 |
| 17 | Ucare ifp fee schedule · both | $268 | $268 | — | — | — | $268 – $268 |
| 18 | Cigna commercial fee schedule · outpatient | $278 | $278 | $24 | 9% | — | $253 – $302 |
| 19 | UnitedHealthcare commercial fee schedule · both | $303 | $303 | — | — | — | $303 – $303 |
| 20 | Medica bold fee schedule · both | $305 | $305 | — | — | — | $305 – $305 |
| 21 | Medica choice without / elect fee schedule · both | $339 | $339 | — | — | — | $339 – $339 |
| 22 | Medica city of st paul / essential uplan fee schedule · both | $339 | $339 | — | — | — | $339 – $339 |
| 23 | Blue Cross Blue Shield federal fee schedule · both | $348 | $348 | — | — | — | $348 – $348 |
| 24 | Medica choice with fee schedule · both | $351 | $351 | — | — | — | $351 – $351 |
| 25 | Blue Cross Blue Shield commercial fee schedule · both | $355 | $355 | — | — | — | $355 – $355 |
Last updated: May 18, 2026
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