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
Split flat caliper stirr & p
Maple Grove, MN
See all hospitals reporting HCPCS L2230 →Price type
Fairview Maple Grove Surgery Center’s median price of $129 is 34% above the median hospital's median price ($96), higher than 79% of the 876 hospitals reporting HCPCS L2230. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield federal fee schedule · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $107 | $107 | — | — | — | $107 – $107 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $109 | $109 | — | — | — | $109 – $109 |
| 6 | Medica accessability fee schedule · both | $113 | $113 | — | — | — | $113 – $113 |
| 7 | Medica medicaid fee schedule · both | $113 | $113 | — | — | — | $113 – $113 |
| 8 | Medica ma non-snp fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 9 | Medica ma snp fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 10 | Medica prime solution fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 11 | Medica vantage fee schedule · both | $122 | $122 | — | — | — | $122 – $122 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $123 | $123 | — | — | — | $123 – $123 |
| 13 | Ucare mhcp fee schedule · both | $126 | $126 | — | — | — | $126 – $126 |
| 14 | Cigna commercial fee schedule · both | $151 | $151 | $13 | 9% | — | $138 – $164 |
| 15 | UnitedHealthcare commercial fee schedule · both | $185 | $185 | — | — | — | $185 – $185 |
| 16 | Ucare ifp with fairview fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 17 | Medica bold fee schedule · both | $212 | $212 | — | — | — | $212 – $212 |
| 18 | Medica choice without / elect fee schedule · both | $236 | $236 | — | — | — | $236 – $236 |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $236 | $236 | — | — | — | $236 – $236 |
| 20 | Medica choice with fee schedule · both | $244 | $244 | — | — | — | $244 – $244 |
| 21 | Ucare ifp fee schedule · outpatient | $270 | $270 | — | — | — | $270 – $270 |
| 22 | Cigna commercial fee schedule · outpatient | $317 | $317 | $28 | 9% | — | $290 – $345 |
Last updated: May 18, 2026
See Leg brace addition with split caliper stirrups and plate pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.