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
Detach non-adjus hght armrst
Maple Grove, MN
See all hospitals reporting HCPCS K0015 →Price type
Fairview Maple Grove Surgery Center’s median price of $154 is 617% above the median hospital's median price ($21), higher than 88% of the 598 hospitals reporting HCPCS K0015. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 22 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 · outpatient | $35 | $35 | $4 | 11% | — | $31 – $38 |
| 2 | Ucare ifp fee schedule · outpatient | $46 | $46 | $5 | 11% | — | $41 – $51 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · both | $101 | $101 | $83 | 82% | — | $18 – $184 |
| 4 | Ucare mhcp fee schedule · both | $104 | $104 | $85 | 82% | — | $19 – $190 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $108 | $108 | $88 | 82% | — | $20 – $196 |
| 6 | Blue Cross Blue Shield federal fee schedule · both | $108 | $108 | $88 | 82% | — | $20 – $196 |
| 7 | Medica ma non-snp fee schedule · both | $154 | $109 | $64 | 59% | — | $18 – $154 |
| 8 | Medica ma snp fee schedule · both | $154 | $109 | $64 | 59% | — | $18 – $154 |
| 9 | Medica prime solution fee schedule · both | $154 | $109 | $64 | 59% | — | $18 – $154 |
| 10 | Medica vantage fee schedule · both | $154 | $109 | $64 | 59% | — | $18 – $154 |
| 11 | Cigna commercial fee schedule · both | $171 | $141 | $88 | 62% | — | $21 – $248 |
| 12 | Medica bold fee schedule · both | $211 | $152 | $85 | 56% | — | $32 – $211 |
| 13 | Medica choice without / elect fee schedule · both | $235 | $168 | $94 | 56% | — | $35 – $235 |
| 14 | Medica city of st paul / essential uplan fee schedule · both | $235 | $168 | $94 | 56% | — | $35 – $235 |
| 15 | Medica accessability fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 16 | Medica medicaid fee schedule · both | $169 | $169 | — | — | — | $169 – $169 |
| 17 | Medica choice with fee schedule · both | $243 | $174 | $97 | 56% | — | $37 – $243 |
| 18 | Blue Cross Blue Shield federal fee schedule · outpatient | $181 | $181 | — | — | — | $181 – $181 |
| 19 | Blue Cross Blue Shield commercial fee schedule · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 20 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $184 | $184 | — | — | — | $184 – $184 |
| 21 | UnitedHealthcare commercial fee schedule · both | $272 | $222 | $112 | 51% | — | $35 – $310 |
| 22 | Cigna commercial fee schedule · outpatient | $479 | $479 | $42 | 9% | — | $438 – $521 |
Last updated: May 18, 2026
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