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
Ring flange plastic/leather
Maple Grove, MN
See all hospitals reporting HCPCS L1100 →Price type
Fairview Maple Grove Surgery Center’s median price of $256 is 20% above the median hospital's median price ($213), higher than 80% of the 832 hospitals reporting HCPCS L1100. 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, 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 federal fee schedule · outpatient | $196 | $196 | — | — | — | $196 – $196 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $200 | $200 | — | — | — | $200 – $200 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $212 | $212 | — | — | — | $212 – $212 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $216 | $216 | — | — | — | $216 – $216 |
| 6 | Medica accessability fee schedule · both | $223 | $223 | — | — | — | $223 – $223 |
| 7 | Medica medicaid fee schedule · both | $223 | $223 | — | — | — | $223 – $223 |
| 8 | Medica ma non-snp fee schedule · both | $243 | $243 | — | — | — | $243 – $243 |
| 9 | Medica ma snp fee schedule · both | $243 | $243 | — | — | — | $243 – $243 |
| 10 | Medica prime solution fee schedule · both | $243 | $243 | — | — | — | $243 – $243 |
| 11 | Medica vantage fee schedule · both | $243 | $243 | — | — | — | $243 – $243 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $243 | $243 | — | — | — | $243 – $243 |
| 13 | Ucare mhcp fee schedule · both | $249 | $249 | — | — | — | $249 – $249 |
| 14 | Cigna commercial fee schedule · both | $299 | $299 | $26 | 9% | — | $273 – $325 |
| 15 | UnitedHealthcare commercial fee schedule · both | $384 | $384 | — | — | — | $384 – $384 |
| 16 | Ucare ifp with fairview fee schedule · outpatient | $402 | $402 | — | — | — | $402 – $402 |
| 17 | Medica bold fee schedule · both | $421 | $421 | — | — | — | $421 – $421 |
| 18 | Medica choice without / elect fee schedule · both | $468 | $468 | — | — | — | $468 – $468 |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $468 | $468 | — | — | — | $468 – $468 |
| 20 | Medica choice with fee schedule · both | $484 | $484 | — | — | — | $484 – $484 |
| 21 | Ucare ifp fee schedule · outpatient | $536 | $536 | — | — | — | $536 – $536 |
| 22 | Cigna commercial fee schedule · outpatient | $629 | $629 | $55 | 9% | — | $574 – $683 |
Last updated: May 18, 2026
See Scoliosis brace attachment: plastic or leather ring flange pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.