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
Sps/pass ankle device
Maple Grove, MN
See all hospitals reporting HCPCS E1816 →Price type
Fairview Maple Grove Surgery Center’s median price of $351 is 81% above the median hospital's median price ($194), higher than 74% of the 550 hospitals reporting HCPCS E1816. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 21 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 | $202 | $202 | — | — | — | $202 – $202 |
| 2 | Medica ma snp fee schedule · both | $202 | $202 | — | — | — | $202 – $202 |
| 3 | Medica prime solution fee schedule · both | $202 | $202 | — | — | — | $202 – $202 |
| 4 | Medica vantage fee schedule · both | $202 | $202 | — | — | — | $202 – $202 |
| 5 | Ucare ifp with fairview fee schedule · outpatient | $335 | $335 | — | — | — | $335 – $335 |
| 6 | UnitedHealthcare commercial fee schedule · both | $346 | $346 | — | — | — | $346 – $346 |
| 7 | Medica bold fee schedule · both | $351 | $351 | — | — | — | $351 – $351 |
| 8 | Medica choice without / elect fee schedule · both | $389 | $389 | — | — | — | $389 – $389 |
| 9 | Medica city of st paul / essential uplan fee schedule · both | $389 | $389 | — | — | — | $389 – $389 |
| 10 | Medica choice with fee schedule · both | $403 | $403 | — | — | — | $403 – $403 |
| 11 | Ucare ifp fee schedule · outpatient | $446 | $446 | — | — | — | $446 – $446 |
| 12 | Blue Cross Blue Shield commercial fee schedule · both | $1.0k | $1.0k | $834 | 82% | — | $185 – $1.9k |
| 13 | Blue Cross Blue Shield federal fee schedule · both | $1.0k | $1.0k | $834 | 82% | — | $185 – $1.9k |
| 14 | Blue Cross Blue Shield medicaid fee schedule · both | $1.1k | $1.1k | $911 | 82% | — | $203 – $2.0k |
| 15 | Cigna commercial fee schedule · both | $1.3k | $1.4k | $1.1k | 83% | — | $228 – $2.7k |
| 16 | Blue Cross Blue Shield federal fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Blue Cross Blue Shield commercial fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 18 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 19 | Medica accessability fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | Medica medicaid fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | Cigna commercial fee schedule · outpatient | $5.2k | $5.2k | $455 | 9% | — | $4.8k – $5.7k |
Last updated: May 18, 2026
See Ankle stretching device with adjustable range of motion pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.