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
PWC gp 1 std port seat/back
Maple Grove, MN
See all hospitals reporting HCPCS K0813 →Price type
Fairview Maple Grove Surgery Center’s median price of $2.1k is 494% above the median hospital's median price ($354), higher than 87% of the 585 hospitals reporting HCPCS K0813. 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 | $576 | $576 | — | — | — | $576 – $576 |
| 2 | Medica bold fee schedule · both | $595 | $595 | — | — | — | $595 – $595 |
| 3 | Medica choice without / elect fee schedule · both | $661 | $661 | — | — | — | $661 – $661 |
| 4 | Medica city of st paul / essential uplan fee schedule · both | $661 | $661 | — | — | — | $661 – $661 |
| 5 | Medica choice with fee schedule · both | $685 | $685 | — | — | — | $685 – $685 |
| 6 | Ucare ifp fee schedule · outpatient | $767 | $767 | — | — | — | $767 – $767 |
| 7 | Blue Cross Blue Shield medicaid fee schedule · both | $1.3k | $1.3k | $974 | 74% | — | $344 – $2.3k |
| 8 | Ucare mhcp fee schedule · both | $1.4k | $1.4k | $1.0k | 74% | — | $354 – $2.4k |
| 9 | Blue Cross Blue Shield commercial fee schedule · both | $2.1k | $2.1k | $1.7k | 82% | — | $380 – $3.8k |
| 10 | Blue Cross Blue Shield federal fee schedule · both | $2.1k | $2.1k | $1.7k | 82% | — | $380 – $3.8k |
| 11 | Medica accessability fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 12 | Medica medicaid fee schedule · both | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 13 | Medica ma non-snp fee schedule · both | $3.1k | $2.2k | $1.3k | 60% | — | $345 – $3.1k |
| 14 | Medica ma snp fee schedule · both | $3.1k | $2.2k | $1.3k | 60% | — | $345 – $3.1k |
| 15 | Medica prime solution fee schedule · both | $3.1k | $2.2k | $1.3k | 60% | — | $345 – $3.1k |
| 16 | Medica vantage fee schedule · both | $3.1k | $2.2k | $1.3k | 60% | — | $345 – $3.1k |
| 17 | Cigna commercial fee schedule · both | $2.2k | $2.3k | $1.9k | 83% | — | $386 – $4.6k |
| 18 | UnitedHealthcare commercial fee schedule · both | $4.7k | $3.4k | $1.9k | 56% | — | $712 – $4.7k |
| 19 | Blue Cross Blue Shield federal fee schedule · outpatient | $3.5k | $3.5k | — | — | — | $3.5k – $3.5k |
| 20 | Blue Cross Blue Shield commercial fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 21 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $3.6k | $3.6k | — | — | — | $3.6k – $3.6k |
| 22 | Cigna commercial fee schedule · outpatient | $8.9k | $8.9k | $773 | 9% | — | $8.1k – $9.7k |
Last updated: May 18, 2026
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