Adjustable ankle extension and flexion device with padding 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

Adjust ankle ext & flex dev

Maple Grove, MN

See all hospitals reporting HCPCS E1815 →

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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 $325 is 96% above the median hospital's median price ($166), higher than 73% of the 569 hospitals reporting HCPCS E1815. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS E1815 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 22 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	Medica ma non-snp fee schedule · both	$187	$187	—	—	—	$187 – $187
2	Medica ma snp fee schedule · both	$187	$187	—	—	—	$187 – $187
3	Medica prime solution fee schedule · both	$187	$187	—	—	—	$187 – $187
4	Medica vantage fee schedule · both	$187	$187	—	—	—	$187 – $187
5	Ucare ifp with fairview fee schedule · outpatient	$310	$310	—	—	—	$310 – $310
6	UnitedHealthcare commercial fee schedule · both	$321	$321	—	—	—	$321 – $321
7	Medica bold fee schedule · both	$325	$325	—	—	—	$325 – $325
8	Medica choice without / elect fee schedule · both	$361	$361	—	—	—	$361 – $361
9	Medica city of st paul / essential uplan fee schedule · both	$361	$361	—	—	—	$361 – $361
10	Medica choice with fee schedule · both	$374	$374	—	—	—	$374 – $374
11	Ucare ifp fee schedule · outpatient	$414	$414	—	—	—	$414 – $414
12	Blue Cross Blue Shield commercial fee schedule · both	$946	$946	$774	82%	—	$172 – $1.7k
13	Blue Cross Blue Shield federal fee schedule · both	$946	$946	$774	82%	—	$172 – $1.7k
14	Blue Cross Blue Shield medicaid fee schedule · both	$1.0k	$1.0k	$845	82%	—	$188 – $1.9k
15	Ucare mhcp fee schedule · both	$1.1k	$1.1k	$865	82%	—	$192 – $1.9k
16	Cigna commercial fee schedule · both	$1.2k	$1.3k	$1.1k	83%	—	$211 – $2.5k
17	Blue Cross Blue Shield federal fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
18	Blue Cross Blue Shield commercial fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
19	Blue Cross Blue Shield medicaid fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
20	Medica accessability fee schedule · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
21	Medica medicaid fee schedule · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
22	Cigna commercial fee schedule · outpatient	$4.9k	$4.9k	$422	9%	—	$4.4k – $5.3k

Last updated: May 18, 2026

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