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 2 std port cap chair
Maple Grove, MN
See all hospitals reporting HCPCS K0821 →Price type
Fairview Maple Grove Surgery Center’s median price of $701 is 60% above the median hospital's median price ($438), higher than 63% of the 585 hospitals reporting HCPCS K0821. 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 | Medica ma non-snp fee schedule · both | $365 | $365 | — | — | — | $365 – $365 |
| 2 | Medica ma snp fee schedule · both | $365 | $365 | — | — | — | $365 – $365 |
| 3 | Medica prime solution fee schedule · both | $365 | $365 | — | — | — | $365 – $365 |
| 4 | Medica vantage fee schedule · both | $365 | $365 | — | — | — | $365 – $365 |
| 5 | Ucare ifp with fairview fee schedule · outpatient | $610 | $610 | — | — | — | $610 – $610 |
| 6 | Medica bold fee schedule · both | $631 | $631 | — | — | — | $631 – $631 |
| 7 | Medica choice without / elect fee schedule · both | $701 | $701 | — | — | — | $701 – $701 |
| 8 | Medica city of st paul / essential uplan fee schedule · both | $701 | $701 | — | — | — | $701 – $701 |
| 9 | Medica choice with fee schedule · both | $725 | $725 | — | — | — | $725 – $725 |
| 10 | Ucare ifp fee schedule · outpatient | $813 | $813 | — | — | — | $813 – $813 |
| 11 | Blue Cross Blue Shield medicaid fee schedule · both | $1.4k | $1.4k | $1.0k | 74% | — | $364 – $2.4k |
| 12 | Ucare mhcp fee schedule · both | $1.4k | $1.4k | $1.1k | 74% | — | $375 – $2.5k |
| 13 | Medica accessability fee schedule · both | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 14 | Medica medicaid fee schedule · both | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 15 | Cigna commercial fee schedule · both | $2.3k | $2.5k | $2.0k | 83% | — | $409 – $4.9k |
| 16 | Blue Cross Blue Shield commercial fee schedule · both | $2.6k | $2.6k | $2.1k | 82% | — | $469 – $4.7k |
| 17 | Blue Cross Blue Shield federal fee schedule · both | $2.6k | $2.6k | $2.1k | 82% | — | $469 – $4.7k |
| 18 | UnitedHealthcare commercial fee schedule · both | $5.5k | $3.9k | $2.2k | 56% | — | $823 – $5.5k |
| 19 | Blue Cross Blue Shield federal fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 20 | Blue Cross Blue Shield commercial fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 21 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 22 | Cigna commercial fee schedule · outpatient | $9.4k | $9.4k | $819 | 9% | — | $8.6k – $10.2k |
Last updated: May 18, 2026
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