Remote review of patient-submitted video or images 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

Remot img sub by pt, non E/M

Maple Grove, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $10 is 14% below the median hospital's median price ($12), higher than 35% of the 955 hospitals reporting HCPCS G2250. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G2250 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	$6	$6	—	—	—	$6 – $6
2	Ucare mhcp fee schedule · both	$6	$6	—	—	—	$6 – $6
3	Medica accessability fee schedule · both	$7	$7	—	—	—	$7 – $7
4	Medica medicaid fee schedule · both	$7	$7	—	—	—	$7 – $7
5	Blue Cross Blue Shield medicaid fee schedule · both	$7	$7	—	—	—	$7 – $7
6	UnitedHealthcare medicare advantage fee schedule · both	$8	$8	—	—	—	$8 – $8
7	Blue Cross Blue Shield medicare advantage fee schedule · both	$9	$9	—	—	—	$9 – $9
8	Medica ma non-snp fee schedule · both	$9	$9	—	—	—	$9 – $9
9	Medica ma snp fee schedule · both	$9	$9	—	—	—	$9 – $9
10	Medica prime solution fee schedule · both	$9	$9	—	—	—	$9 – $9
11	Medica vantage fee schedule · both	$9	$9	—	—	—	$9 – $9
12	Cigna commercial fee schedule · both	$11	$11	$1	9%	—	$10 – $12
13	Blue Cross Blue Shield medicaid fee schedule · outpatient	$14	$14	—	—	—	$14 – $14
14	Ucare ifp with fairview fee schedule · both	$22	$22	—	—	—	$22 – $22
15	Blue Cross Blue Shield federal fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
16	Blue Cross Blue Shield commercial fee schedule · outpatient	$23	$23	—	—	—	$23 – $23
17	Ucare ifp fee schedule · both	$23	$23	—	—	—	$23 – $23
18	Medica bold fee schedule · both	$27	$27	—	—	—	$27 – $27
19	UnitedHealthcare commercial fee schedule · both	$29	$29	—	—	—	$29 – $29
20	Medica choice without / elect fee schedule · both	$30	$30	—	—	—	$30 – $30
21	Medica city of st paul / essential uplan fee schedule · both	$30	$30	—	—	—	$30 – $30
22	Blue Cross Blue Shield federal fee schedule · both	$30	$30	—	—	—	$30 – $30
23	Blue Cross Blue Shield commercial fee schedule · both	$31	$31	—	—	—	$31 – $31
24	Medica choice with fee schedule · both	$31	$31	—	—	—	$31 – $31
25	Cigna commercial fee schedule · outpatient	$33	$33	$3	9%	—	$30 – $36

Last updated: May 18, 2026

Compare to other hospitals

See Remote review of patient-submitted video or images pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.