Post-coital test of cervical mucus at Fairview Maple Grove Surgery Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Post-coital mucous exam

Maple Grove, MN

See all hospitals reporting HCPCS Q0115 →

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $30 is 14% above the median hospital's median price ($26), higher than 74% of the 1,164 hospitals reporting HCPCS Q0115. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q0115 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 24 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 medicaid fee schedule · outpatient	$18	$18	—	—	—	$18 – $18
2	Blue Cross Blue Shield federal fee schedule · both	$25	$25	—	—	—	$25 – $25
3	Medica accessability fee schedule · both	$25	$25	—	—	—	$25 – $25
4	Medica medicaid fee schedule · both	$25	$25	—	—	—	$25 – $25
5	Blue Cross Blue Shield commercial fee schedule · both	$25	$25	—	—	—	$25 – $25
6	Ucare mhcp fee schedule · both	$26	$26	—	—	—	$26 – $26
7	Medica ma non-snp fee schedule · both	$27	$27	$0	1%	—	$27 – $27
8	Medica ma snp fee schedule · both	$27	$27	$0	1%	—	$27 – $27
9	Medica prime solution fee schedule · both	$27	$27	$0	1%	—	$27 – $27
10	Medica vantage fee schedule · both	$27	$27	$0	1%	—	$27 – $27
11	Blue Cross Blue Shield medicaid fee schedule · both	$27	$27	—	—	—	$27 – $27
12	Blue Cross Blue Shield federal fee schedule · outpatient	$30	$30	—	—	—	$30 – $30
13	Blue Cross Blue Shield commercial fee schedule · outpatient	$31	$31	—	—	—	$31 – $31
14	Cigna commercial fee schedule · both	$33	$33	$3	9%	—	$30 – $36
15	Ucare ifp with fairview fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
16	Medica bold fee schedule · both	$47	$47	$0	1%	—	$47 – $48
17	Ucare ifp fee schedule · both	$50	$50	—	—	—	$50 – $50
18	Ucare ifp with fairview fee schedule · both	$50	$50	—	—	—	$50 – $50
19	Medica choice without / elect fee schedule · both	$52	$53	$1	1%	—	$52 – $53
20	Medica city of st paul / essential uplan fee schedule · both	$52	$53	$1	1%	—	$52 – $53
21	Medica choice with fee schedule · both	$54	$55	$1	1%	—	$54 – $55
22	Ucare ifp fee schedule · outpatient	$57	$57	—	—	—	$57 – $57
23	Cigna commercial fee schedule · outpatient	$70	$70	$6	9%	—	$64 – $76
24	UnitedHealthcare commercial fee schedule · both	$78	$78	—	—	—	$78 – $78

Last updated: May 18, 2026

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