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
KAFO sng/dbl mechanical act
Maple Grove, MN
See all hospitals reporting HCPCS L2005 →Price type
Fairview Maple Grove Surgery Center’s median price of $5.6k is 9% above the median hospital's median price ($5.2k), higher than 73% of the 832 hospitals reporting HCPCS L2005. 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, 19 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 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $4.7k | $4.7k | — | — | — | $4.7k – $4.7k |
| 6 | Medica ma non-snp fee schedule · both | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 7 | Medica ma snp fee schedule · both | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 8 | Medica prime solution fee schedule · both | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 9 | Medica vantage fee schedule · both | $5.2k | $5.2k | — | — | — | $5.2k – $5.2k |
| 10 | Ucare mhcp fee schedule · both | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 11 | Cigna commercial fee schedule · both | $6.5k | $6.5k | $562 | 9% | — | $5.9k – $7.0k |
| 12 | Ucare ifp with fairview fee schedule · outpatient | $8.7k | $8.7k | — | — | — | $8.7k – $8.7k |
| 13 | Medica bold fee schedule · both | $9.1k | $9.1k | — | — | — | $9.1k – $9.1k |
| 14 | UnitedHealthcare commercial fee schedule · both | $9.4k | $9.4k | — | — | — | $9.4k – $9.4k |
| 15 | Medica choice without / elect fee schedule · both | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 16 | Medica city of st paul / essential uplan fee schedule · both | $10.1k | $10.1k | — | — | — | $10.1k – $10.1k |
| 17 | Medica choice with fee schedule · both | $10.5k | $10.5k | — | — | — | $10.5k – $10.5k |
| 18 | Ucare ifp fee schedule · outpatient | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 19 | Cigna commercial fee schedule · outpatient | $13.6k | $13.6k | $1.2k | 9% | — | $12.4k – $14.8k |
Last updated: May 18, 2026
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