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.
Original text from hospital filings
Follow up home visit/prental
Maple Grove, MN
See all hospitals reporting HCPCS H1004 →Price type
Fairview Maple Grove Surgery Center’s median price of $54 is about the same as the median hospital's median price ($54), higher than 49% of the 140 hospitals reporting HCPCS H1004. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 10 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 | Ucare ifp with fairview fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 2 | Blue Cross Blue Shield federal fee schedule · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 3 | Medica accessability fee schedule · both | $53 | $53 | — | — | — | $53 – $53 |
| 4 | Medica medicaid fee schedule · both | $53 | $53 | — | — | — | $53 – $53 |
| 5 | Blue Cross Blue Shield commercial fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 6 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 7 | Ucare ifp fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 8 | Blue Cross Blue Shield federal fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 9 | Blue Cross Blue Shield commercial fee schedule · both | $55 | $55 | — | — | — | $55 – $55 |
| 10 | Blue Cross Blue Shield medicaid fee schedule · both | $58 | $58 | — | — | — | $58 – $58 |
Last updated: May 18, 2026
See Prenatal follow-up home visit pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.