tlso flex custom fab thoraci at Fairview Maple Grove Surgery Center

Maple Grove, MN

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $121 is 56% below the median hospital's median price ($277), higher than 3% of the 261 hospitals reporting HCPCS L0452. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0452 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 2 payers, 6 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 federal fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$121	$121	—	—	—	$121 – $121
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$121	$121	—	—	—	$121 – $121
4	Blue Cross Blue Shield federal fee schedule · both	$121	$121	—	—	—	$121 – $121
5	Blue Cross Blue Shield commercial fee schedule · both	$123	$123	—	—	—	$123 – $123
6	UnitedHealthcare commercial fee schedule · both	$732	$732	—	—	—	$732 – $732

Last updated: May 18, 2026

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HCPCS L0452