Telehealth emergency or inpatient consultation at Fairview Maple Grove Surgery Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Inpt/ED teleconsult50

Maple Grove, MN

See all hospitals reporting HCPCS G0426 →

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $151 is 2% below the median hospital's median price ($153), higher than 49% of the 783 hospitals reporting HCPCS G0426. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G0426 at Fairview Maple Grove Surgery Center

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	$88	$88	—	—	—	$88 – $88
2	Ucare mhcp fee schedule · both	$90	$90	—	—	—	$90 – $90
3	Medica accessability fee schedule · both	$95	$95	—	—	—	$95 – $95
4	Medica medicaid fee schedule · both	$95	$95	—	—	—	$95 – $95
5	Blue Cross Blue Shield medicaid fee schedule · both	$101	$101	—	—	—	$101 – $101
6	UnitedHealthcare medicare advantage fee schedule · both	$120	$120	—	—	—	$120 – $120
7	Blue Cross Blue Shield medicare advantage fee schedule · both	$125	$125	—	—	—	$125 – $125
8	Medica ma non-snp fee schedule · both	$129	$129	—	—	—	$129 – $129
9	Medica ma snp fee schedule · both	$129	$129	—	—	—	$129 – $129
10	Medica prime solution fee schedule · both	$129	$129	—	—	—	$129 – $129
11	Medica vantage fee schedule · both	$129	$129	—	—	—	$129 – $129
12	Cigna commercial fee schedule · both	$165	$165	$14	9%	—	$151 – $179
13	Blue Cross Blue Shield federal fee schedule · outpatient	$234	$234	—	—	—	$234 – $234
14	Blue Cross Blue Shield commercial fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
15	Blue Cross Blue Shield medicaid fee schedule · outpatient	$238	$238	—	—	—	$238 – $238
16	Ucare ifp with fairview fee schedule · both	$316	$316	—	—	—	$316 – $316
17	Ucare ifp fee schedule · both	$333	$333	—	—	—	$333 – $333
18	Cigna commercial fee schedule · outpatient	$347	$347	$30	9%	—	$317 – $377
19	Medica bold fee schedule · both	$379	$379	—	—	—	$379 – $379
20	UnitedHealthcare commercial fee schedule · both	$397	$397	—	—	—	$397 – $397
21	Medica choice without / elect fee schedule · both	$422	$422	—	—	—	$422 – $422
22	Medica city of st paul / essential uplan fee schedule · both	$422	$422	—	—	—	$422 – $422
23	Blue Cross Blue Shield federal fee schedule · both	$434	$434	—	—	—	$434 – $434
24	Medica choice with fee schedule · both	$436	$436	—	—	—	$436 – $436
25	Blue Cross Blue Shield commercial fee schedule · both	$442	$442	—	—	—	$442 – $442

Last updated: May 18, 2026

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See Telehealth emergency or inpatient consultation pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.