Esketamine treatment visit over 56 minutes 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

Visit esketamine, > 56m

Maple Grove, MN

See all hospitals reporting HCPCS G2083 →

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $40 is 97% below the median hospital's median price ($1.5k), higher than 5% of the 875 hospitals reporting HCPCS G2083. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G2083 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	$23	$23	—	—	—	$23 – $23
2	Ucare mhcp fee schedule · both	$24	$24	—	—	—	$24 – $24
3	Medica accessability fee schedule · both	$25	$25	—	—	—	$25 – $25
4	Medica medicaid fee schedule · both	$25	$25	—	—	—	$25 – $25
5	Blue Cross Blue Shield medicaid fee schedule · both	$27	$27	—	—	—	$27 – $27
6	UnitedHealthcare medicare advantage fee schedule · both	$32	$32	—	—	—	$32 – $32
7	Blue Cross Blue Shield medicare advantage fee schedule · both	$33	$33	—	—	—	$33 – $33
8	Medica ma non-snp fee schedule · both	$34	$34	—	—	—	$34 – $34
9	Medica ma snp fee schedule · both	$34	$34	—	—	—	$34 – $34
10	Medica prime solution fee schedule · both	$34	$34	—	—	—	$34 – $34
11	Medica vantage fee schedule · both	$34	$34	—	—	—	$34 – $34
12	Cigna commercial fee schedule · both	$44	$44	$4	9%	—	$40 – $48
13	Blue Cross Blue Shield medicaid fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
14	Blue Cross Blue Shield federal fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
15	Blue Cross Blue Shield commercial fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
16	UnitedHealthcare commercial fee schedule · both	$75	$75	—	—	—	$75 – $75
17	Ucare ifp with fairview fee schedule · both	$84	$84	—	—	—	$84 – $84
18	Ucare ifp fee schedule · both	$88	$88	—	—	—	$88 – $88
19	Medica bold fee schedule · both	$101	$101	—	—	—	$101 – $101
20	Medica choice without / elect fee schedule · both	$112	$112	—	—	—	$112 – $112
21	Medica city of st paul / essential uplan fee schedule · both	$112	$112	—	—	—	$112 – $112
22	Medica choice with fee schedule · both	$116	$116	—	—	—	$116 – $116
23	Blue Cross Blue Shield federal fee schedule · both	$117	$117	—	—	—	$117 – $117
24	Blue Cross Blue Shield commercial fee schedule · both	$119	$119	—	—	—	$119 – $119
25	Cigna commercial fee schedule · outpatient	$1.6k	$1.6k	$140	9%	—	$1.5k – $1.8k

Last updated: May 18, 2026

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