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
Ko elas w/ condyle pads otf
Maple Grove, MN
See all hospitals reporting HCPCS L1821 →Price type
Fairview Maple Grove Surgery Center’s median price of $185 is 10% above the median hospital's median price ($168), higher than 79% of the 670 hospitals reporting HCPCS L1821. 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, 14 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 · both | $159 | $159 | — | — | — | $159 – $159 |
| 2 | Blue Cross Blue Shield commercial fee schedule · both | $162 | $162 | — | — | — | $162 – $162 |
| 3 | Medica accessability fee schedule · both | $167 | $167 | — | — | — | $167 – $167 |
| 4 | Medica medicaid fee schedule · both | $167 | $167 | — | — | — | $167 – $167 |
| 5 | Medica ma non-snp fee schedule · both | $182 | $182 | — | — | — | $182 – $182 |
| 6 | Medica ma snp fee schedule · both | $182 | $182 | — | — | — | $182 – $182 |
| 7 | Medica prime solution fee schedule · both | $182 | $182 | — | — | — | $182 – $182 |
| 8 | Medica vantage fee schedule · both | $182 | $182 | — | — | — | $182 – $182 |
| 9 | Blue Cross Blue Shield medicaid fee schedule · both | $182 | $182 | — | — | — | $182 – $182 |
| 10 | Ucare mhcp fee schedule · both | $187 | $187 | — | — | — | $187 – $187 |
| 11 | Ucare ifp with fairview fee schedule · outpatient | $301 | $301 | — | — | — | $301 – $301 |
| 12 | UnitedHealthcare commercial fee schedule · both | $367 | $367 | — | — | — | $367 – $367 |
| 13 | Ucare ifp fee schedule · outpatient | $401 | $401 | — | — | — | $401 – $401 |
| 14 | Cigna commercial fee schedule · outpatient | $488 | $488 | $42 | 9% | — | $445 – $530 |
Last updated: May 18, 2026
See Off-the-shelf elastic knee brace with joints pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.