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
Adv prim care mgmt lvl 3
Maple Grove, MN
See all hospitals reporting HCPCS G0558 →Price type
Fairview Maple Grove Surgery Center’s median price of $82 is 21% below the median hospital's median price ($104), higher than 7% of the 741 hospitals reporting HCPCS G0558. 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, 13 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 | $57 | $57 | — | — | — | $57 – $57 |
| 2 | Ucare mhcp fee schedule · both | $58 | $58 | — | — | — | $58 – $58 |
| 3 | UnitedHealthcare medicare advantage fee schedule · both | $76 | $76 | — | — | — | $76 – $76 |
| 4 | Blue Cross Blue Shield medicare advantage fee schedule · both | $80 | $80 | — | — | — | $80 – $80 |
| 5 | Medica ma non-snp fee schedule · both | $82 | $82 | — | — | — | $82 – $82 |
| 6 | Medica ma snp fee schedule · both | $82 | $82 | — | — | — | $82 – $82 |
| 7 | Medica prime solution fee schedule · both | $82 | $82 | — | — | — | $82 – $82 |
| 8 | Medica vantage fee schedule · both | $82 | $82 | — | — | — | $82 – $82 |
| 9 | Cigna commercial fee schedule · outpatient | $103 | $103 | $9 | 9% | — | $94 – $112 |
| 10 | Blue Cross Blue Shield federal fee schedule · both | $144 | $144 | — | — | — | $144 – $144 |
| 11 | Blue Cross Blue Shield commercial fee schedule · both | $146 | $146 | — | — | — | $146 – $146 |
| 12 | Ucare ifp with fairview fee schedule · both | $202 | $202 | — | — | — | $202 – $202 |
| 13 | Ucare ifp fee schedule · both | $213 | $213 | — | — | — | $213 – $213 |
Last updated: May 18, 2026
See Primary care management for patients with multiple chronic conditions pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.