9 EM core sessions at Fairview Maple Grove Surgery Center

Maple Grove, MN

See all hospitals reporting HCPCS G9875 →

Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $182 is 7% below the median hospital's median price ($195), higher than 45% of the 368 hospitals reporting HCPCS G9875. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G9875 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 4 payers, 16 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 medicaid fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
2	Medica ma non-snp fee schedule · both	$88	$88	—	—	—	$88 – $88
3	Medica ma snp fee schedule · both	$88	$88	—	—	—	$88 – $88
4	Medica prime solution fee schedule · both	$88	$88	—	—	—	$88 – $88
5	Medica vantage fee schedule · both	$88	$88	—	—	—	$88 – $88
6	Blue Cross Blue Shield federal fee schedule · both	$90	$90	—	—	—	$90 – $90
7	Blue Cross Blue Shield commercial fee schedule · both	$92	$92	—	—	—	$92 – $92
8	Blue Cross Blue Shield federal fee schedule · outpatient	$108	$108	—	—	—	$108 – $108
9	Blue Cross Blue Shield commercial fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
10	Medica bold fee schedule · both	$158	$158	—	—	—	$158 – $158
11	Medica choice without / elect fee schedule · both	$176	$176	—	—	—	$176 – $176
12	Medica city of st paul / essential uplan fee schedule · both	$176	$176	—	—	—	$176 – $176
13	Medica choice with fee schedule · both	$182	$182	—	—	—	$182 – $182
14	Cigna commercial fee schedule · both	$248	$248	$22	9%	—	$226 – $269
15	UnitedHealthcare commercial fee schedule · both	$270	$270	—	—	—	$270 – $270
16	Cigna commercial fee schedule · outpatient	$520	$520	$45	9%	—	$475 – $565

Last updated: May 18, 2026

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