EM 5 percent WL at Fairview Maple Grove Surgery Center

Maple Grove, MN

See all hospitals reporting HCPCS G9880 →

Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $192 is 12% below the median hospital's median price ($217), higher than 42% of the 378 hospitals reporting HCPCS G9880. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G9880 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	$116	$116	—	—	—	$116 – $116
2	Medica ma non-snp fee schedule · both	$156	$156	—	—	—	$156 – $156
3	Medica ma snp fee schedule · both	$156	$156	—	—	—	$156 – $156
4	Medica prime solution fee schedule · both	$156	$156	—	—	—	$156 – $156
5	Medica vantage fee schedule · both	$156	$156	—	—	—	$156 – $156
6	Blue Cross Blue Shield federal fee schedule · both	$160	$160	—	—	—	$160 – $160
7	Blue Cross Blue Shield commercial fee schedule · both	$163	$163	—	—	—	$163 – $163
8	Blue Cross Blue Shield federal fee schedule · outpatient	$192	$192	—	—	—	$192 – $192
9	Cigna commercial fee schedule · both	$194	$194	$17	9%	—	$178 – $211
10	Blue Cross Blue Shield commercial fee schedule · outpatient	$195	$195	—	—	—	$195 – $195
11	Medica bold fee schedule · both	$281	$281	—	—	—	$281 – $281
12	Medica choice without / elect fee schedule · both	$312	$312	—	—	—	$312 – $312
13	Medica city of st paul / essential uplan fee schedule · both	$312	$312	—	—	—	$312 – $312
14	Medica choice with fee schedule · both	$323	$323	—	—	—	$323 – $323
15	Cigna commercial fee schedule · outpatient	$408	$408	$36	9%	—	$373 – $444
16	UnitedHealthcare commercial fee schedule · both	$483	$483	—	—	—	$483 – $483

Last updated: May 18, 2026

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