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
Pelv band/spread bar thigh c
Maple Grove, MN
See all hospitals reporting HCPCS L1640 →Price type
Fairview Maple Grove Surgery Center’s median price of $638 is 4% above the median hospital's median price ($611), higher than 63% of the 834 hospitals reporting HCPCS L1640. 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 | $489 | $489 | — | — | — | $489 – $489 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $497 | $497 | — | — | — | $497 – $497 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $497 | $497 | — | — | — | $497 – $497 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $529 | $529 | — | — | — | $529 – $529 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $539 | $539 | — | — | — | $539 – $539 |
| 6 | Medica accessability fee schedule · both | $557 | $557 | — | — | — | $557 – $557 |
| 7 | Medica medicaid fee schedule · both | $557 | $557 | — | — | — | $557 – $557 |
| 8 | Medica ma non-snp fee schedule · both | $605 | $605 | — | — | — | $605 – $605 |
| 9 | Medica ma snp fee schedule · both | $605 | $605 | — | — | — | $605 – $605 |
| 10 | Medica prime solution fee schedule · both | $605 | $605 | — | — | — | $605 – $605 |
| 11 | Medica vantage fee schedule · both | $605 | $605 | — | — | — | $605 – $605 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $607 | $607 | — | — | — | $607 – $607 |
| 13 | Ucare mhcp fee schedule · both | $621 | $621 | — | — | — | $621 – $621 |
| 14 | Cigna commercial fee schedule · both | $747 | $747 | $65 | 9% | — | $682 – $812 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 16 | Medica bold fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | UnitedHealthcare commercial fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 18 | Medica choice without / elect fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 20 | Medica choice with fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 21 | Ucare ifp fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 22 | Cigna commercial fee schedule · outpatient | $1.6k | $1.6k | $136 | 9% | — | $1.4k – $1.7k |
Last updated: May 18, 2026
See Custom-made hip abduction brace with pelvic band pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.