Flexible off-the-shelf lower back brace 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

Lo flex l1-below l5 pre ots

Maple Grove, MN

See all hospitals reporting HCPCS L0625 →

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $48 is 8% above the median hospital's median price ($45), higher than 57% of the 1,249 hospitals reporting HCPCS L0625. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L0625 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 accessability fee schedule · both	$40	$40	—	—	—	$40 – $40
2	Medica medicaid fee schedule · both	$40	$40	—	—	—	$40 – $40
3	Blue Cross Blue Shield medicaid fee schedule · both	$43	$43	—	—	—	$43 – $43
4	Medica ma non-snp fee schedule · both	$43	$43	—	—	—	$43 – $43
5	Medica ma snp fee schedule · both	$43	$43	—	—	—	$43 – $43
6	Medica prime solution fee schedule · both	$43	$43	—	—	—	$43 – $43
7	Medica vantage fee schedule · both	$43	$43	—	—	—	$43 – $43
8	Ucare mhcp fee schedule · both	$45	$45	—	—	—	$45 – $45
9	Blue Cross Blue Shield federal fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
10	Blue Cross Blue Shield commercial fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
11	Blue Cross Blue Shield medicaid fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
12	Blue Cross Blue Shield federal fee schedule · both	$50	$50	—	—	—	$50 – $50
13	Blue Cross Blue Shield commercial fee schedule · both	$51	$51	—	—	—	$51 – $51
14	Cigna commercial fee schedule · both	$53	$53	$5	9%	—	$49 – $58
15	Ucare ifp with fairview fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
16	Medica bold fee schedule · both	$75	$75	—	—	—	$75 – $75
17	Medica choice without / elect fee schedule · both	$83	$83	—	—	—	$83 – $83
18	Medica city of st paul / essential uplan fee schedule · both	$83	$83	—	—	—	$83 – $83
19	Medica choice with fee schedule · both	$86	$86	—	—	—	$86 – $86
20	Ucare ifp fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
21	Cigna commercial fee schedule · outpatient	$112	$112	$10	9%	—	$102 – $121
22	UnitedHealthcare commercial fee schedule · both	$127	$127	—	—	—	$127 – $127

Last updated: May 18, 2026

Compare to other hospitals

See Flexible off-the-shelf lower back brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.