Wheelchair leg strap, H-style 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Leg strap h style each

Maple Grove, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $65 is 6% above the median hospital's median price ($62), higher than 72% of the 598 hospitals reporting HCPCS K0039. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS K0039 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	Blue Cross Blue Shield commercial fee schedule · both	$32	$32	$26	82%	—	$6 – $59
2	Blue Cross Blue Shield federal fee schedule · both	$32	$32	$26	82%	—	$6 – $59
3	Blue Cross Blue Shield medicaid fee schedule · both	$36	$36	$29	82%	—	$7 – $65
4	Ucare mhcp fee schedule · both	$37	$37	$30	82%	—	$7 – $67
5	Medica ma non-snp fee schedule · both	$65	$46	$28	61%	—	$7 – $65
6	Medica ma snp fee schedule · both	$65	$46	$28	61%	—	$7 – $65
7	Medica prime solution fee schedule · both	$65	$46	$28	61%	—	$7 – $65
8	Medica vantage fee schedule · both	$65	$46	$28	61%	—	$7 – $65
9	Cigna commercial fee schedule · both	$60	$49	$31	63%	—	$7 – $87
10	Blue Cross Blue Shield federal fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
11	Blue Cross Blue Shield commercial fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
12	Blue Cross Blue Shield medicaid fee schedule · outpatient	$55	$55	—	—	—	$55 – $55
13	Medica accessability fee schedule · both	$60	$60	—	—	—	$60 – $60
14	Medica medicaid fee schedule · both	$60	$60	—	—	—	$60 – $60
15	Ucare ifp with fairview fee schedule · outpatient	$84	$69	$42	62%	—	$11 – $114
16	Medica bold fee schedule · both	$113	$79	$48	61%	—	$11 – $113
17	Medica choice without / elect fee schedule · both	$125	$88	$53	61%	—	$13 – $125
18	Medica city of st paul / essential uplan fee schedule · both	$125	$88	$53	61%	—	$13 – $125
19	Medica choice with fee schedule · both	$130	$91	$55	61%	—	$13 – $130
20	Ucare ifp fee schedule · outpatient	$112	$92	$56	62%	—	$15 – $152
21	UnitedHealthcare commercial fee schedule · both	$115	$93	$48	52%	—	$13 – $131
22	Cigna commercial fee schedule · outpatient	$169	$169	$15	9%	—	$154 – $183

Last updated: May 18, 2026

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