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
Th/wght bear quad-lat brim c
Maple Grove, MN
See all hospitals reporting HCPCS L2520 →Price type
Fairview Maple Grove Surgery Center’s median price of $724 is 15% above the median hospital's median price ($632), higher than 77% of the 856 hospitals reporting HCPCS L2520. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield federal fee schedule · outpatient | $555 | $555 | — | — | — | $555 – $555 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $565 | $565 | — | — | — | $565 – $565 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $565 | $565 | — | — | — | $565 – $565 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $601 | $601 | — | — | — | $601 – $601 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $612 | $612 | — | — | — | $612 – $612 |
| 6 | Medica accessability fee schedule · both | $632 | $632 | — | — | — | $632 – $632 |
| 7 | Medica medicaid fee schedule · both | $632 | $632 | — | — | — | $632 – $632 |
| 8 | Medica ma non-snp fee schedule · both | $686 | $686 | — | — | — | $686 – $686 |
| 9 | Medica ma snp fee schedule · both | $686 | $686 | — | — | — | $686 – $686 |
| 10 | Medica prime solution fee schedule · both | $686 | $686 | — | — | — | $686 – $686 |
| 11 | Medica vantage fee schedule · both | $686 | $686 | — | — | — | $686 – $686 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $689 | $689 | — | — | — | $689 – $689 |
| 13 | Ucare mhcp fee schedule · both | $705 | $705 | — | — | — | $705 – $705 |
| 14 | Cigna commercial fee schedule · both | $848 | $848 | $74 | 9% | — | $774 – $921 |
| 15 | UnitedHealthcare commercial fee schedule · both | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 16 | Ucare ifp with fairview fee schedule · outpatient | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 17 | Medica bold fee schedule · both | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 18 | Medica choice without / elect fee schedule · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 20 | Medica choice with fee schedule · both | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 21 | Ucare ifp fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 22 | Cigna commercial fee schedule · outpatient | $1.8k | $1.8k | $155 | 9% | — | $1.6k – $1.9k |
Last updated: May 18, 2026
See Custom thigh-weight-bearing quadrilateral brim addition for leg brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.