How many shoppable procedure prices are published for Maple Grove Hospital?

Maple Grove Hospital in Maple Grove, MN currently has 101 standardized procedure price records indexed from its public 45 CFR § 180 machine-readable file.

How do Maple Grove Hospital's commercial prices compare to the fair BaseRate?

Across scored shoppable procedures, Maple Grove Hospital's median negotiated commercial rate is 0.9× the regionally adjusted fair BaseRate benchmark.

What is Maple Grove Hospital's CMS Care Compare overall star rating?

CMS Care Compare assigns Maple Grove Hospital an overall hospital quality rating of 5 out of 5 stars based on public federal clinical and patient-experience measures.

Hospital Profile Acute Care Hospital Voluntary non-profit - Private 148 Beds · urban Updated: 9/25/2026

Maple Grove Hospital

9875 Hospital Drive, Maple Grove, MN 55369 · 101 Priced Procedures · 78% Patient Recommendation

CMS Overall Rating 5 / 5 Stars

Good Deal · Below Fair Market

0.90×vs. Fair Market Price

Typical commercial prices here are 10% below the fair benchmark (0.90×) after accounting for local nurse/doctor wages and patient complexity.

87/100 · Verified

87/100Self-Pay Cash Beats Insurance 43% of the Time

File Completeness85

Price Logic91

Peer Alignment72

Clean Billing88

Real Cash Discount100

Regional Value Leader

4-Star CMS clinical quality rating paired with 0.90× fair market pricing.

Behavioral Pricing FingerprintLow Shoppable & Low Captive Rates

Uniform Value Leader · Low-Cost Across Departments

Maple Grove Hospital maintains low, disciplined commercial pricing across both routine shoppable procedures (1.0× Medicare, p50 0.97× Fair BaseRate) and emergency/ancillary services (1.0× Medicare, p75 1.00× Fair BaseRate). Both insured and self-pay patients benefit from below-benchmark rates across departments.

#14 of 76 in MN · 17th State Percentile#637 of 3,385 in U.S. · 18th National Percentile

Advantage

Where They're Good (Patient & Payer Edge)

Elective shoppable care is priced 10% below peer Fair BaseRate (0.90×)
Self-pay cash beats commercial insurance on 43% of shoppable procedures (99/100 Cash Honesty)
5-Star CMS clinical rating with 78% patient recommendation (73/100 safety score)
IRS 501(c)(3) charity care provides free care up to 200% FPL and discounted care up to 400% FPL (34.3% AGB cap)

Watchout

Where You Can Get Burned (Markup Traps)

Even at low-cost facilities (0.90× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Commercial insurance median sits at 0.97× Fair BaseRate (1.0× Medicare), so insured patients should always compare the self-pay cash price before paying.
Even at low-cost facilities (0.90× Fair BaseRate), out-of-network or unnegotiated chargemaster bills can exceed commercial medians — confirm in-network status or request a self-pay cash quote up front.
Unnegotiated chargemaster list prices average 4.5× Medicare (24¢ true HCRIS cost per $1 gross)

Front-Door ShoppableElective / Imaging

1.0× Medicare

Pre-scheduled outpatient procedures where patients can comparison-shop.

Back-Door Captive & ER1.00× Divergence

1.0× Medicare

Emergency, inpatient DRG, lab, and specialty drug lines billed after admission.

Quantile Tail Spread+3% Upper Tail

Q25 0.83× · Q50 0.97× · Q75 1.00×

Detects median-gaming when upper-quartile codes spike above the p50 median.

Select any lens to inspect department markups, federal cost accounting, or insurer discounts.

Department & Integrity Multiples (vs. CMS Medicare Cost Anchor) Green ≤1.3× · Teal 1.3–1.8× · Amber 1.8–2.5× · Rose >2.5×

Front-Door Shoppable CareFront-Door Shoppable

1.0× MedicareGood

Outpatient Surgery & ORBack-Door Captive

0.8× MedicareGood

Diagnostic Imaging (CT/MRI)Front-Door Shoppable

0.9× MedicareGood

Back-Door Captive ER VisitsBack-Door Captive

0.5× MedicareGood

Inpatient Lab & PathologyBack-Door Captive

1.1× MedicareGood

Specialty & Infusion Drugs (J-Codes)Back-Door Captive

0.6× MedicareGood

Self-Pay Cash Honesty & 501(r)Integrity & Outcomes

43% Cash Edge · 99/100Good

CMS Clinical Safety & Star ValueIntegrity & Outcomes

5 CMS · 73/100Fair

Procedure Prices at Maple Grove Hospital

High-impact clinical procedures (MRIs, surgeries, inpatient stays, visits) are prioritized first. Use the category pills or search bar to filter all 101 published procedures.

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Audit a Bill & 501(r) Cap ↓

Procedure & Billing Code	Self-Pay Cash	This Hospital	Fair BaseRate	vs. Fair
Spinal fusion, single level (inpatient stay) MS-DRG Code: `451`	$31,660	$24,952	$30,775	0.8×
Hip or knee replacement (inpatient stay) MS-DRG Code: `470`	$18,950	$15,505	$19,432	0.8×
Total hip replacement CPT Code: `27130`	$22,540	$13,406	$13,413	1.0×
Total knee replacement CPT Code: `27447`	$20,028	$13,406	$13,523	1.0×
Sepsis treatment (inpatient stay) MS-DRG Code: `871`	$7,289	$7,289	$19,087	0.4×
Digestive disorders treatment (inpatient stay) MS-DRG Code: `392`	$6,247	$6,808	$8,223	0.8×
Breast lump removal CPT Code: `19120`	$13,387	$6,795	$3,875	unverified
Gallbladder removal (laparoscopic) CPT Code: `47562`	$6,830	$6,079	$6,109	1.0×
Inguinal hernia repair CPT Code: `49505`	$4,531	$3,677	$3,629	1.0×
Knee arthroscopy with meniscus repair CPT Code: `29881`	$5,632	$3,381	$3,372	1.0×
Bunion correction surgery CPT Code: `28296`	$5,891	$3,381	$3,446	1.0×
Trauma team activation HCPCS Code: `G0390`	$3,698	$2,382	$1,453	unverified
Colonoscopy with biopsy CPT Code: `45380`	$2,511	$1,240	$1,256	1.0×
Colonoscopy (diagnostic) CPT Code: `45378`	$2,075	$984	$981	1.0×
Upper endoscopy with biopsy CPT Code: `43239`	$2,426	$986	$987	1.0×
Injection procedure for pain management HCPCS Code: `G0260`	$1,138	$761	$855	0.9×
Rabies immune globulin HCPCS Code: `90375`	$1,190	$555	$322	1.7×
Echocardiogram (heart ultrasound) CPT Code: `93306`	$784	$571	$583	1.0×
Blood transfusion CPT Code: `36430`	$635	$456	$498	0.9×
CT scan, abdomen and pelvis (with contrast) CPT Code: `74177`	$707	$372	$448	0.8×
MRI, brain (with and without contrast) CPT Code: `70553`	$1,041	$372	$511	0.7×
Ultrasound, leg veins (duplex) CPT Code: `93970`	$435	$252	$272	0.9×
CT scan, abdomen and pelvis (no contrast) CPT Code: `74176`	$489	$252	$303	0.8×
MRI, lower back (no contrast) CPT Code: `72148`	$741	$252	$338	0.7×
MRI, brain (no contrast) CPT Code: `70551`	$727	$252	$343	0.7×
MRI, knee or other leg joint CPT Code: `73721`	$1,209	$254	$369	0.7×
Breathing treatment (nebulizer) CPT Code: `94640`	$182	$212	$201	1.1×
CT scan, head (with contrast) CPT Code: `70460`	$663	$185	$242	0.8×
CT scan, head (with and without contrast) CPT Code: `70470`	$656	$185	$258	0.7×
Hepatitis B immune globulin HCPCS Code: `90371`	$113	$147	$151	1.0×
X-ray, shoulder CPT Code: `73030`	$264	$93	$92	1.0×
X-ray, foot CPT Code: `73630`	$232	$93	$92	1.0×
X-ray, pelvis CPT Code: `72170`	$153	$111	$110	1.0×
X-ray, chest (single view) CPT Code: `71045`	$149	$92	$92	1.0×
X-ray, ankle CPT Code: `73610`	$232	$93	$93	1.0×
X-ray, lower back CPT Code: `72110`	$222	$111	$112	1.0×
X-ray, chest (two views) CPT Code: `71046`	$143	$92	$93	1.0×
X-ray, neck (cervical spine) CPT Code: `72040`	$191	$92	$93	1.0×
X-ray, hand CPT Code: `73130`	$228	$92	$93	1.0×
X-ray, hip CPT Code: `73502`	$173	$92	$93	1.0×
Ultrasound, abdomen (limited) CPT Code: `76705`	$225	$111	$126	0.9×
Ultrasound, pelvis CPT Code: `76856`	$235	$111	$130	0.9×
Ultrasound, thyroid and neck CPT Code: `76536`	$259	$111	$132	0.8×
Ultrasound, abdomen (complete) CPT Code: `76700`	$328	$111	$134	0.8×
Diagnostic mammogram (both breasts) CPT Code: `77066`	$308	$114	$148	0.8×
Screening mammogram (both breasts) CPT Code: `77067`	$243	$94	$123	0.8×
CT scan, head (no contrast) CPT Code: `70450`	$549	$111	$160	0.7×
CT scan, pelvis CPT Code: `72192`	$498	$111	$163	0.7×
CT scan, sinuses CPT Code: `70486`	$565	$111	$166	0.7×
CT scan, chest (no contrast) CPT Code: `71250`	$489	$111	$167	0.7×
CT scan, lower back (lumbar spine) CPT Code: `72131`	$498	$111	$168	0.7×
CT scan, neck (cervical spine) CPT Code: `72125`	$556	$111	$169	0.7×
Hospital observation (per hour) HCPCS Code: `G0378`	$99	$99	$86	unverified
Typhoid vaccine HCPCS Code: `90675`	$478	$338	$347	1.0×
Drug screening test HCPCS Code: `G0480`	$109	$118	$116	1.0×
Blood antibody screen CPT Code: `86850`	$50	$55	$46	1.2×
Electrocardiogram (EKG, tracing only) CPT Code: `93005`	$98	$62	$64	1.0×
Speech therapy (language evaluation) CPT Code: `92507`	$173	$77	$86	0.9×
MMR vaccine (measles, mumps, rubella) HCPCS Code: `90707`	$118	$77	$111	0.7×
Flu vaccine injection HCPCS Code: `G0008`	$37	$47	$48	1.0×
Orthotic fitting and training CPT Code: `97760`	$123	$49	$51	1.0×
Pneumonia vaccine injection HCPCS Code: `G0009`	$36	$47	$49	1.0×
Colorectal cancer screening HCPCS Code: `G0010`	$41	$47	$49	1.0×
Blood test, basic metabolic panel CPT Code: `80048`	$25	$9	$9	1.0×
Blood test, comprehensive metabolic panel CPT Code: `80053`	$31	$11	$11	1.0×
Blood test, cholesterol (lipid panel) CPT Code: `80061`	$20	$14	$14	1.0×
Urinalysis (automated, with microscopy) CPT Code: `81001`	$15	$3	$3	1.0×
Blood test, amylase CPT Code: `82150`	$19	$7	$7	1.0×
Blood test, calcium CPT Code: `82310`	$11	$5	$5	1.0×
Blood test, creatinine (kidney) CPT Code: `82565`	$12	$5	$5	1.0×
Blood test, vitamin B12 CPT Code: `82607`	$27	$16	$16	1.0×
Blood test, ferritin (iron stores) CPT Code: `82728`	$28	$14	$14	1.0×
Blood test, magnesium CPT Code: `83735`	$16	$7	$7	1.0×
Blood test, PSA (prostate screen) CPT Code: `84153`	$22	$19	$19	1.0×
Prostate cancer screening (blood test) HCPCS Code: `G0103`	$28	$20	$20	1.0×
Blood test, vitamin D CPT Code: `82306`	$40	$30	$31	1.0×
Physical therapy (gait training) CPT Code: `97116`	$62	$30	$33	0.9×
Occupational therapy (therapeutic activities) CPT Code: `97530`	$70	$36	$40	0.9×
Physical therapy (neuromuscular re-education) CPT Code: `97112`	$68	$33	$38	0.9×
Blood test, glucose (blood sugar) CPT Code: `82947`	$9	$4	$4	1.0×
Blood test, average blood sugar (A1c) CPT Code: `83036`	$18	$10	$10	1.0×
Blood test, lipase CPT Code: `83690`	$18	$7	$7	1.0×
Blood test, potassium CPT Code: `84132`	$12	$5	$5	1.0×
Blood test, sodium CPT Code: `84295`	$12	$5	$5	1.0×
Blood test, urea nitrogen (BUN, kidney) CPT Code: `84520`	$12	$4	$4	1.0×
Blood test, complete blood count (CBC) CPT Code: `85025`	$22	$8	$8	1.0×
Blood test, clotting time (PTT) CPT Code: `85730`	$18	$6	$6	1.0×
Hepatitis C antibody test CPT Code: `86803`	$28	$15	$15	1.0×
Culture, blood CPT Code: `87040`	$37	$11	$11	1.0×
Culture, bacterial CPT Code: `87070`	$32	$9	$9	1.0×
Blood test, thyroid (TSH) CPT Code: `84443`	$24	$17	$18	0.9×
Blood test, liver function panel CPT Code: `80076`	$24	$8	$9	0.9×
Occupational therapy (self-care training) CPT Code: `97535`	$66	$33	$38	0.9×
Physical therapy (therapeutic exercise) CPT Code: `97110`	$75	$30	$35	0.9×
Hepatitis B vaccine HCPCS Code: `90744`	$72	$31	$37	0.8×
Physical therapy (manual therapy) CPT Code: `97140`	$85	$28	$34	0.8×
Tdap vaccine (tetanus, diphtheria, pertussis) HCPCS Code: `90715`	$59	$32	$56	0.6×
Blood test, clotting time (PT/INR) CPT Code: `85610`	$19	$4	$5	0.8×
Blood test, hemoglobin CPT Code: `85018`	$8	$2	$3	0.7×
DTaP vaccine (diphtheria, tetanus, pertussis) HCPCS Code: `90700`	$42	$23	$39	0.6×
Diagnostic procedure preparation HCPCS Code: `G0279`	$51	$16	$35	0.5×

Showing top 25 high-impact procedures of 101 total

Inline Bill X-Ray & 501(r) Calculator 501(c)(3) Nonprofit · Free Care ≤200% FPL · AGB Cap 34.3%

Audit a Bill or Quote at Maple Grove Hospital (Zero PHI Required)

CMS CCN: 240214

CPT 451

Select Procedure to Audit:

Fair BaseRate™ $30,775

Medicare Rate $23,504

Self-Pay Cash $31,660

Insurer Median $24,952

1. Amount on Your Bill or Quote ($) Pre-filled with Maple Grove Hospital’s charged/list benchmark

2. Household Annual Income ($) Screened against 2026 HHS Federal Poverty Guidelines

3. Household Size (1–8) 2026 FPL: $15,650 + $5,500 per additional person

Step 1 · 501(r) Charity Care Check 501(r) AGB Cap: $20,624 (274% FPL)

Statutory 501(r) AGB Cap Limits Bill to $20,624

At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (34.3% of gross = $20,624).

Step 2 · Cash vs. Insurance Arbitrage Save $28,416 Paying Cash

Self-Pay Cash Rate ($31,660) Beats Your Bill

Maple Grove Hospital's published 45 CFR § 180 self-pay cash rate is $31,660 (vs. $24,952 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.

Step 3 · Fair BaseRate Target +$29,301 Above Fair BaseRate

Negotiate Toward $30,775 Fair BaseRate ($23,504 Medicare)

Your bill ($60,076) is $29,301 above the denoised Fair BaseRate ($30,775) and 2.6× the $23,504 Medicare rate.

1-Click Factual Dispute Summary: Copy a citation-backed benchmark memo (with CMS CCN, CPT code, Medicare reference, Fair BaseRate, and 26 U.S.C. § 501(r) calculations) to paste into patient-portal messages or billing appeals.

IRS Form 990 Schedule H & 26 U.S.C. § 501(r) 501(c)(3) Nonprofit Hospital

Financial Assistance Policy (FAP) & Amounts Generally Billed (AGB)

EIN: 208316475

Filing Period: 200704

Free Care Eligibility BenchmarkUp to 200% FPL100% charity write-off income threshold

Discounted Care EligibilityUp to 400% FPLSliding-scale & AGB billing cap tier

Charity Care Share of ExpensesSee Schedule HNet community financial assistance reported

26 U.S.C. § 501(r)(5) AGB Benchmark Method: lookback_commercial_median

Hospital-Specific CMS HCRIS Benchmark (34.3% of gross charges)

Under 26 U.S.C. § 501(r)(5), a tax-exempt hospital organization may not bill FAP-eligible patients more than Amounts Generally Billed (AGB) to individuals with insurance covering emergency or medically necessary care. Derived from this facility’s reported CMS HCRIS cost-to-charge & insurer allowance filings. Verify your exact Financial Assistance Policy (FAP) determination directly with the billing office.

Screen your household size, income, and itemized CPT codes against 2026 HHS Federal Poverty Guidelines: Calculate Your 501(r) Cap Above ↑

CMS Care Compare Public Quality Record

Clinical Quality, Patient Experience & Infection Benchmarks

CMS Overall4/5 Stars (4/5)

Safety Composite73/100

Would Recommend78%

Rated 9 or 10 (HCAHPS)77%

Median ER Wait184 min

Left ER Before Seen3%

30-Day Mortality vs U.S.same

Unplanned Readmissionsame

Hip/Knee Complication Rate3.3%

Healthcare-Associated Infections (CDC NHSN / CMS HAI)

1.00 SIR = National Predicted Baseline (Lower Is Safer)

Central-Line Bloodstream Infectionsame

C. diff Hospital-Onset Infectionbetter

CMS Price Transparency Administrative Enforcement Log

Factual public administrative actions published by the Centers for Medicare & Medicaid Services regarding 45 CFR § 180 compliance at Maple Grove Hospital. Prior administrative notices do not necessarily reflect current compliance status.

2026-04-29·warning_notice
Warning Notice
Recorded
2025-03-17·administrative_or_closure
Closure Notice
Recorded
2025-01-22·cap_corrective_action
CAP Request
Recorded
2024-10-16·warning_notice
Warning Notice
Recorded

Source: CMS Hospital Care Compare (859 completed HCAHPS patient surveys). Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.

Care-Setting Arbitrage, Bilateral SVD Insurer Leverage & Regional Alternatives

How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings

Regional Value & Quality Leader Pareto Frontier (Price + Quality)

2D regional comparison of commercial negotiated price index against CMS clinical quality composite for Maple Grove Hospital.

Price Index: 0.75× regional baseline

Quality: 72/100 CMS composite

Median Household Income$96,339U.S. Census ACS

Local Uninsured Share4.5%Regional ACS estimate

200% FPL (1 Person)$31,920Common free-care ceiling

400% FPL (Family of 4)$128,600Common AGB cap ceiling

45 CFR § 180 Primary-Source Lineage & Federal Verification VeriRate 87/100 · Verified CMS CCN 240214 EIN 208316475

Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings

Download Official Hospital MRF ↗ Verify on CMS Medicare.gov (CCN 240214) ↗ Verify IRS Form 990 (EIN 208316475) ↗ CMS HCRIS Cost Reports ↗

Published MRF File208316475_maple-grove-hospital-corporation_standardcharges.csv

Publication / Vintage9/25/2026 · 114.31 MB

Validated Rate Rows2,952 (CMS v3.0.0)

File Integrity Digest612030507f3934680c28…

Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.

Submit MRF Update Correction Policy