Remote evaluation of established patient, 15 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

Remote E/M est. pt 15mins

Maple Grove, MN

See all hospitals reporting HCPCS G9984 →

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $99 is 25% above the median hospital's median price ($79), higher than 75% of the 440 hospitals reporting HCPCS G9984. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS G9984 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 20 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	UnitedHealthcare medicare advantage fee schedule · both	$50	$50	—	—	—	$50 – $50
2	Blue Cross Blue Shield medicare advantage fee schedule · both	$52	$52	—	—	—	$52 – $52
3	Medica ma non-snp fee schedule · both	$54	$54	—	—	—	$54 – $54
4	Medica ma snp fee schedule · both	$54	$54	—	—	—	$54 – $54
5	Medica prime solution fee schedule · both	$54	$54	—	—	—	$54 – $54
6	Medica vantage fee schedule · both	$54	$54	—	—	—	$54 – $54
7	Cigna commercial fee schedule · both	$69	$69	$6	9%	—	$63 – $75
8	Blue Cross Blue Shield federal fee schedule · outpatient	$97	$97	—	—	—	$97 – $97
9	Blue Cross Blue Shield commercial fee schedule · outpatient	$99	$99	—	—	—	$99 – $99
10	Blue Cross Blue Shield medicaid fee schedule · outpatient	$99	$99	—	—	—	$99 – $99
11	Ucare ifp with fairview fee schedule · both	$133	$133	—	—	—	$133 – $133
12	Ucare ifp fee schedule · both	$140	$140	—	—	—	$140 – $140
13	UnitedHealthcare commercial fee schedule · both	$154	$154	—	—	—	$154 – $154
14	Medica bold fee schedule · both	$159	$159	—	—	—	$159 – $159
15	Medica choice without / elect fee schedule · both	$177	$177	—	—	—	$177 – $177
16	Medica city of st paul / essential uplan fee schedule · both	$177	$177	—	—	—	$177 – $177
17	Blue Cross Blue Shield federal fee schedule · both	$182	$182	—	—	—	$182 – $182
18	Medica choice with fee schedule · both	$183	$183	—	—	—	$183 – $183
19	Blue Cross Blue Shield commercial fee schedule · both	$185	$185	—	—	—	$185 – $185
20	Cigna commercial fee schedule · outpatient	$218	$218	$19	9%	—	$199 – $236

Last updated: May 18, 2026

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