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
N-et; encounter/trip
Maple Grove, MN
See all hospitals reporting HCPCS T2003 →Price type
Fairview Maple Grove Surgery Center’s median price of $15 is 10% above the median hospital's median price ($14), higher than 53% of the 150 hospitals reporting HCPCS T2003. 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, 12 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 | Blue Cross Blue Shield federal fee schedule · both | $12 | $12 | — | — | — | $12 – $12 |
| 2 | Blue Cross Blue Shield federal fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 3 | Blue Cross Blue Shield commercial fee schedule · both | $12 | $12 | — | — | — | $12 – $12 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $12 | $12 | — | — | — | $12 – $12 |
| 6 | Ucare ifp with fairview fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 7 | Medica accessability fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 8 | Medica medicaid fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 9 | Ucare ifp fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 10 | Blue Cross Blue Shield medicaid fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 11 | Ucare mhcp fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 12 | Cigna commercial fee schedule · both | $39 | $39 | $3 | 9% | — | $36 – $42 |
Last updated: May 18, 2026
See Non-emergency ride to medical appointment pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.