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
Add UE prost be/wd, ultlite
Edina, MN
See all hospitals reporting HCPCS L7400 →Price type
Fairview Health Services’s median price of $403 is 4% above the median hospital's median price ($387), higher than 73% of the 825 hospitals reporting HCPCS L7400. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 33 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 | Bcbs Mn pmap fee schedule · outpatient | $167 | $167 | — | — | — | $167 – $167 |
| 2 | Bcbs Mn aware federal fee schedule · both | $343 | $343 | — | — | — | $343 – $343 |
| 3 | Bcbs Mn aware/blue plus fee schedule · both | $349 | $349 | — | — | — | $349 – $349 |
| 4 | Medica managed medicaid/accessability fee schedule · both | $361 | $361 | — | — | — | $361 – $361 |
| 5 | Sanford Health Plan medicare advantage fee schedule · outpatient | $364 | $364 | — | — | — | $364 – $364 |
| 6 | UnitedHealthcare medicare advantage fee schedule · outpatient | $364 | $364 | — | — | — | $364 – $364 |
| 7 | WellCare medicare advantage fee schedule · outpatient | $364 | $364 | — | — | — | $364 – $364 |
| 8 | Ucare medicare advantage/msho fee schedule · outpatient | $370 | $370 | — | — | — | $370 – $370 |
| 9 | Bcbs Mn medicare advantage fee schedule · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 10 | Medica medicare advantage non-snp fee schedule · outpatient | $386 | $386 | — | — | — | $386 – $386 |
| 11 | Ucare pmap fee schedule · outpatient | $389 | $389 | — | — | — | $389 – $389 |
| 12 | Medica medicare advantage non-snp fee schedule · both | $392 | $392 | — | — | — | $392 – $392 |
| 13 | Bcbs Mn pmap fee schedule · both | $394 | $394 | — | — | — | $394 – $394 |
| 14 | Bcbs Mn aware federal fee schedule · outpatient | $395 | $395 | — | — | — | $395 – $395 |
| 15 | Medica msho/medicare advantage snp fee schedule · both | $400 | $400 | — | — | — | $400 – $400 |
| 16 | Bcbs Mn aware/blue plus fee schedule · outpatient | $402 | $402 | — | — | — | $402 – $402 |
| 17 | Ucare pmap fee schedule · both | $403 | $403 | — | — | — | $403 – $403 |
| 18 | Medica managed medicaid/accessability fee schedule · outpatient | $444 | $444 | — | — | — | $444 – $444 |
| 19 | Medica msho/medicare advantage snp fee schedule · outpatient | $481 | $481 | — | — | — | $481 – $481 |
| 20 | Ucare individual and family with m health fairview fee schedule · outpatient | $647 | $647 | — | — | — | $647 – $647 |
| 21 | Medica bold fee schedule · both | $681 | $681 | — | — | — | $681 – $681 |
| 22 | UnitedHealthcare commercial fee schedule · both | $687 | $687 | — | — | — | $687 – $687 |
| 23 | UnitedHealthcare core fee schedule · both | $687 | $687 | — | — | — | $687 – $687 |
| 24 | Medica vantage self insured fee schedule · both | $738 | $738 | — | — | — | $738 – $738 |
| 25 | Medica city of st. paul/essential-uplan fee schedule · both | $757 | $757 | — | — | — | $757 – $757 |
Last updated: Feb 6, 2026
See Lightweight upper arm prosthesis addition (below elbow) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.