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
Fr cstr semi-pne tire rep ea
Maple Grove, MN
See all hospitals reporting HCPCS K0072 →Price type
Fairview Maple Grove Surgery Center’s median price of $84 is 2% above the median hospital's median price ($83), higher than 63% of the 599 hospitals reporting HCPCS K0072. 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 | Blue Cross Blue Shield commercial fee schedule · both | $46 | $46 | $38 | 82% | — | $8 – $83 |
| 2 | Blue Cross Blue Shield federal fee schedule · both | $46 | $46 | $38 | 82% | — | $8 – $83 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · both | $46 | $46 | $38 | 82% | — | $8 – $84 |
| 4 | Ucare mhcp fee schedule · both | $48 | $48 | $39 | 82% | — | $9 – $87 |
| 5 | Medica ma non-snp fee schedule · both | $84 | $59 | $36 | 61% | — | $8 – $84 |
| 6 | Medica ma snp fee schedule · both | $84 | $59 | $36 | 61% | — | $8 – $84 |
| 7 | Medica prime solution fee schedule · both | $84 | $59 | $36 | 61% | — | $8 – $84 |
| 8 | Medica vantage fee schedule · both | $84 | $59 | $36 | 61% | — | $8 – $84 |
| 9 | Cigna commercial fee schedule · both | $77 | $64 | $40 | 62% | — | $10 – $112 |
| 10 | Blue Cross Blue Shield federal fee schedule · outpatient | $77 | $77 | — | — | — | $77 – $77 |
| 11 | Medica accessability fee schedule · both | $77 | $77 | — | — | — | $77 – $77 |
| 12 | Medica medicaid fee schedule · both | $77 | $77 | — | — | — | $77 – $77 |
| 13 | Blue Cross Blue Shield commercial fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 14 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $113 | $93 | $58 | 62% | — | $14 – $162 |
| 16 | Medica bold fee schedule · both | $145 | $102 | $62 | 61% | — | $15 – $145 |
| 17 | Medica choice without / elect fee schedule · both | $162 | $113 | $69 | 61% | — | $16 – $162 |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $162 | $113 | $69 | 61% | — | $16 – $162 |
| 19 | Medica choice with fee schedule · both | $167 | $117 | $71 | 61% | — | $17 – $167 |
| 20 | UnitedHealthcare commercial fee schedule · both | $145 | $118 | $61 | 52% | — | $17 – $165 |
| 21 | Ucare ifp fee schedule · outpatient | $151 | $124 | $77 | 62% | — | $19 – $215 |
| 22 | Cigna commercial fee schedule · outpatient | $217 | $217 | $19 | 9% | — | $198 – $235 |
Last updated: May 18, 2026
See Replacement front wheel assembly for wheelchair pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.