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
Post-d/c h vst new pt 60 m
Maple Grove, MN
See all hospitals reporting HCPCS G2004 →Price type
Fairview Maple Grove Surgery Center’s median price of $308 is 83% above the median hospital's median price ($169), higher than 82% of the 407 hospitals reporting HCPCS G2004. 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 | UnitedHealthcare medicare advantage fee schedule · both | $148 | $148 | — | — | — | $148 – $148 |
| 2 | Blue Cross Blue Shield medicare advantage fee schedule · both | $154 | $154 | — | — | — | $154 – $154 |
| 3 | Medica ma non-snp fee schedule · both | $159 | $159 | — | — | — | $159 – $159 |
| 4 | Medica ma snp fee schedule · both | $159 | $159 | — | — | — | $159 – $159 |
| 5 | Medica prime solution fee schedule · both | $159 | $159 | — | — | — | $159 – $159 |
| 6 | Medica vantage fee schedule · both | $159 | $159 | — | — | — | $159 – $159 |
| 7 | Cigna commercial fee schedule · both | $205 | $205 | $18 | 9% | — | $187 – $222 |
| 8 | Blue Cross Blue Shield federal fee schedule · outpatient | $308 | $308 | — | — | — | $308 – $308 |
| 9 | Blue Cross Blue Shield commercial fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 10 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $314 | $314 | — | — | — | $314 – $314 |
| 11 | Ucare ifp with fairview fee schedule · both | $391 | $391 | — | — | — | $391 – $391 |
| 12 | Ucare ifp fee schedule · both | $412 | $412 | — | — | — | $412 – $412 |
| 13 | Cigna commercial fee schedule · outpatient | $430 | $430 | $37 | 9% | — | $392 – $467 |
| 14 | Medica bold fee schedule · both | $471 | $471 | — | — | — | $471 – $471 |
| 15 | Medica choice without / elect fee schedule · both | $523 | $523 | — | — | — | $523 – $523 |
| 16 | Medica city of st paul / essential uplan fee schedule · both | $523 | $523 | — | — | — | $523 – $523 |
| 17 | Blue Cross Blue Shield federal fee schedule · both | $529 | $529 | — | — | — | $529 – $529 |
| 18 | Blue Cross Blue Shield commercial fee schedule · both | $539 | $539 | — | — | — | $539 – $539 |
| 19 | Medica choice with fee schedule · both | $541 | $541 | — | — | — | $541 – $541 |
| 20 | UnitedHealthcare commercial fee schedule · both | $546 | $546 | — | — | — | $546 – $546 |
Last updated: May 18, 2026
See Post-discharge home visit for new patient, 60 minutes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.