Bilateral hip orthosis with thigh cuffs and abduction bar 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

Ho bi thighcuffs w sprdr bar

Maple Grove, MN

See all hospitals reporting HCPCS L1652 →

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $480 is 7% above the median hospital's median price ($449), higher than 73% of the 829 hospitals reporting HCPCS L1652. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L1652 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 federal fee schedule · outpatient	$368	$368	—	—	—	$368 – $368
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$375	$375	—	—	—	$375 – $375
4	Blue Cross Blue Shield federal fee schedule · both	$398	$398	—	—	—	$398 – $398
5	Blue Cross Blue Shield commercial fee schedule · both	$406	$406	—	—	—	$406 – $406
6	Medica accessability fee schedule · both	$419	$419	—	—	—	$419 – $419
7	Medica medicaid fee schedule · both	$419	$419	—	—	—	$419 – $419
8	Medica ma non-snp fee schedule · both	$455	$455	—	—	—	$455 – $455
9	Medica ma snp fee schedule · both	$455	$455	—	—	—	$455 – $455
10	Medica prime solution fee schedule · both	$455	$455	—	—	—	$455 – $455
11	Medica vantage fee schedule · both	$455	$455	—	—	—	$455 – $455
12	Blue Cross Blue Shield medicaid fee schedule · both	$457	$457	—	—	—	$457 – $457
13	Ucare mhcp fee schedule · both	$468	$468	—	—	—	$468 – $468
14	Cigna commercial fee schedule · both	$562	$562	$49	9%	—	$513 – $611
15	Ucare ifp with fairview fee schedule · outpatient	$755	$755	—	—	—	$755 – $755
16	Medica bold fee schedule · both	$791	$791	—	—	—	$791 – $791
17	UnitedHealthcare commercial fee schedule · both	$821	$821	—	—	—	$821 – $821
18	Medica choice without / elect fee schedule · both	$879	$879	—	—	—	$879 – $879
19	Medica city of st paul / essential uplan fee schedule · both	$879	$879	—	—	—	$879 – $879
20	Medica choice with fee schedule · both	$909	$909	—	—	—	$909 – $909
21	Ucare ifp fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
22	Cigna commercial fee schedule · outpatient	$1.2k	$1.2k	$103	9%	—	$1.1k – $1.3k

Last updated: May 18, 2026

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