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 gp2 vhd sing pow opt s/b
Maple Grove, MN
See all hospitals reporting HCPCS K0839 →Price type
Fairview Maple Grove Surgery Center’s median price of $1.5k is 70% above the median hospital's median price ($891), higher than 66% of the 585 hospitals reporting HCPCS K0839. 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 | $790 | $790 | — | — | — | $790 – $790 |
| 2 | Medica ma snp fee schedule · both | $790 | $790 | — | — | — | $790 – $790 |
| 3 | Medica prime solution fee schedule · both | $790 | $790 | — | — | — | $790 – $790 |
| 4 | Medica vantage fee schedule · both | $790 | $790 | — | — | — | $790 – $790 |
| 5 | Ucare ifp with fairview fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 6 | Medica bold fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 7 | Medica choice without / elect fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 8 | Medica city of st paul / essential uplan fee schedule · both | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 9 | Medica choice with fee schedule · both | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 10 | Ucare ifp fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 11 | Blue Cross Blue Shield medicaid fee schedule · both | $3.0k | $3.0k | $2.2k | 74% | — | $788 – $5.3k |
| 12 | Ucare mhcp fee schedule · both | $3.1k | $3.1k | $2.3k | 74% | — | $812 – $5.4k |
| 13 | Medica accessability fee schedule · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 14 | Medica medicaid fee schedule · both | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 15 | Blue Cross Blue Shield commercial fee schedule · both | $5.0k | $5.0k | $4.1k | 82% | — | $913 – $9.1k |
| 16 | Blue Cross Blue Shield federal fee schedule · both | $5.0k | $5.0k | $4.1k | 82% | — | $913 – $9.1k |
| 17 | Cigna commercial fee schedule · both | $5.0k | $5.3k | $4.4k | 83% | — | $886 – $10.5k |
| 18 | Blue Cross Blue Shield federal fee schedule · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 19 | UnitedHealthcare commercial fee schedule · both | $11.9k | $8.5k | $4.8k | 56% | — | $1.8k – $11.9k |
| 20 | Blue Cross Blue Shield commercial fee schedule · outpatient | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 21 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 22 | Cigna commercial fee schedule · outpatient | $20.4k | $20.4k | $1.8k | 9% | — | $18.6k – $22.1k |
Last updated: May 18, 2026
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