Skin substitute graft (extracellular matrix), per square centimeter 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

Architect ecm px fx 1 sq cm

Maple Grove, MN

See all hospitals reporting HCPCS Q4147 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $160 is 4% below the median hospital's median price ($168), higher than 48% of the 879 hospitals reporting HCPCS Q4147. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS Q4147 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 4 payers, 15 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.

Filter by billing methodology

Filter by billing class

#
1	Medica ma non-snp fee schedule · both	$61	$61	—	—	—	$61 – $61
2	Medica ma snp fee schedule · both	$61	$61	—	—	—	$61 – $61
3	Medica prime solution fee schedule · both	$61	$61	—	—	—	$61 – $61
4	Medica vantage fee schedule · both	$61	$61	—	—	—	$61 – $61
5	Blue Cross Blue Shield federal fee schedule · both	$147	$147	—	—	—	$147 – $147
6	Blue Cross Blue Shield commercial fee schedule · both	$150	$150	—	—	—	$150 – $150
7	Cigna commercial fee schedule · both	$176	$176	$15	9%	—	$160 – $191
8	Blue Cross Blue Shield medicaid fee schedule · outpatient	$211	$211	—	—	—	$211 – $211
9	UnitedHealthcare commercial fee schedule · both	$267	$267	—	—	—	$267 – $267
10	Medica bold fee schedule · both	$278	$278	—	—	—	$278 – $278
11	Medica choice without / elect fee schedule · both	$308	$308	—	—	—	$308 – $308
12	Medica city of st paul / essential uplan fee schedule · both	$308	$308	—	—	—	$308 – $308
13	Medica choice with fee schedule · both	$319	$319	—	—	—	$319 – $319
14	Blue Cross Blue Shield federal fee schedule · outpatient	$348	$348	—	—	—	$348 – $348
15	Blue Cross Blue Shield commercial fee schedule · outpatient	$354	$354	—	—	—	$354 – $354

Last updated: May 18, 2026

Compare to other hospitals

See Skin substitute graft (extracellular matrix), per square centimeter pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.