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
Intake act w/med exam
Maple Grove, MN
See all hospitals reporting HCPCS G2076 →Price type
Fairview Maple Grove Surgery Center’s median price of $242 is 1% above the median hospital's median price ($239), higher than 51% of the 293 hospitals reporting HCPCS G2076. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 7 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 | Blue Cross Blue Shield federal fee schedule · both | $179 | $179 | — | — | — | $179 – $179 |
| 2 | Blue Cross Blue Shield federal fee schedule · outpatient | $179 | $179 | — | — | — | $179 – $179 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $183 | $183 | — | — | — | $183 – $183 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 6 | Cigna commercial fee schedule · both | $265 | $265 | $23 | 9% | — | $242 – $288 |
| 7 | Cigna commercial fee schedule · outpatient | $557 | $557 | $48 | 9% | — | $508 – $605 |
Last updated: May 18, 2026
See Intake activity with medical examination pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.