Adult disposable brief, extra-large 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

Adult disp brief/diap abv xl

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 $2 is 8% above the median hospital's median price ($2), higher than 52% of the 181 hospitals reporting HCPCS T4543. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS T4543 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 3 payers, 11 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	Ucare ifp with fairview fee schedule · both	$2	$2	—	—	—	$2 – $2
2	Medica accessability fee schedule · both	$2	$2	—	—	—	$2 – $2
3	Medica medicaid fee schedule · both	$2	$2	—	—	—	$2 – $2
4	Ucare ifp fee schedule · both	$2	$2	—	—	—	$2 – $2
5	Blue Cross Blue Shield medicaid fee schedule · both	$2	$2	—	—	—	$2 – $2
6	Ucare mhcp fee schedule · both	$2	$2	—	—	—	$2 – $2
7	Blue Cross Blue Shield federal fee schedule · both	$2	$2	—	—	—	$2 – $2
8	Blue Cross Blue Shield federal fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
9	Blue Cross Blue Shield commercial fee schedule · both	$2	$2	—	—	—	$2 – $2
10	Blue Cross Blue Shield commercial fee schedule · outpatient	$2	$2	—	—	—	$2 – $2
11	Blue Cross Blue Shield medicaid fee schedule · outpatient	$2	$2	—	—	—	$2 – $2

Last updated: May 18, 2026

Compare to other hospitals

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