Custom ankle-foot brace with adjustable stop 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

Afo sing upright w/ adjust s

Maple Grove, MN

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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 $554 is 25% above the median hospital's median price ($443), higher than 77% of the 879 hospitals reporting HCPCS L1920. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L1920 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	$424	$424	—	—	—	$424 – $424
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$432	$432	—	—	—	$432 – $432
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$432	$432	—	—	—	$432 – $432
4	Blue Cross Blue Shield federal fee schedule · both	$459	$459	—	—	—	$459 – $459
5	Blue Cross Blue Shield commercial fee schedule · both	$467	$467	—	—	—	$467 – $467
6	Medica accessability fee schedule · both	$483	$483	—	—	—	$483 – $483
7	Medica medicaid fee schedule · both	$483	$483	—	—	—	$483 – $483
8	Medica ma non-snp fee schedule · both	$525	$525	—	—	—	$525 – $525
9	Medica ma snp fee schedule · both	$525	$525	—	—	—	$525 – $525
10	Medica prime solution fee schedule · both	$525	$525	—	—	—	$525 – $525
11	Medica vantage fee schedule · both	$525	$525	—	—	—	$525 – $525
12	Blue Cross Blue Shield medicaid fee schedule · both	$527	$527	—	—	—	$527 – $527
13	Ucare mhcp fee schedule · both	$539	$539	—	—	—	$539 – $539
14	Cigna commercial fee schedule · both	$648	$648	$56	9%	—	$592 – $704
15	UnitedHealthcare commercial fee schedule · both	$843	$843	—	—	—	$843 – $843
16	Ucare ifp with fairview fee schedule · outpatient	$870	$870	—	—	—	$870 – $870
17	Medica bold fee schedule · both	$911	$911	—	—	—	$911 – $911
18	Medica choice without / elect fee schedule · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
19	Medica city of st paul / essential uplan fee schedule · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
20	Medica choice with fee schedule · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
21	Ucare ifp fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
22	Cigna commercial fee schedule · outpatient	$1.4k	$1.4k	$118	9%	—	$1.2k – $1.5k

Last updated: May 18, 2026

Compare to other hospitals

See Custom ankle-foot brace with adjustable stop pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.