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
One-way allow prorated trip
Maple Grove, MN
See all hospitals reporting HCPCS P9604 →Price type
Fairview Maple Grove Surgery Center’s median price of $11 is 6% below the median hospital's median price ($12), higher than 46% of the 666 hospitals reporting HCPCS P9604. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 13 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 | Cigna commercial fee schedule · both | $4 | $4 | $0 | 9% | — | $4 – $5 |
| 2 | Cigna commercial fee schedule · outpatient | $9 | $9 | $1 | 9% | — | $8 – $10 |
| 3 | Ucare ifp with fairview fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 4 | Medica ma non-snp fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 5 | Medica ma snp fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 6 | Medica prime solution fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 7 | Medica vantage fee schedule · both | $11 | $11 | — | — | — | $11 – $11 |
| 8 | Ucare ifp fee schedule · both | $12 | $12 | — | — | — | $12 – $12 |
| 9 | Medica bold fee schedule · both | $20 | $20 | — | — | — | $20 – $20 |
| 10 | Medica choice without / elect fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 11 | Medica city of st paul / essential uplan fee schedule · both | $22 | $22 | — | — | — | $22 – $22 |
| 12 | Medica choice with fee schedule · both | $23 | $23 | — | — | — | $23 – $23 |
| 13 | UnitedHealthcare commercial fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
Last updated: May 18, 2026
See One-way prorated ambulance trip pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.