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
Pelvic control band & belt u
Maple Grove, MN
See all hospitals reporting HCPCS L2630 →Price type
Fairview Maple Grove Surgery Center’s median price of $312 is 7% below the median hospital's median price ($335), higher than 42% of the 849 hospitals reporting HCPCS L2630. 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 | $239 | $239 | — | — | — | $239 – $239 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $243 | $243 | — | — | — | $243 – $243 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $259 | $259 | — | — | — | $259 – $259 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $263 | $263 | — | — | — | $263 – $263 |
| 6 | Medica accessability fee schedule · both | $272 | $272 | — | — | — | $272 – $272 |
| 7 | Medica medicaid fee schedule · both | $272 | $272 | — | — | — | $272 – $272 |
| 8 | Medica ma non-snp fee schedule · both | $296 | $296 | — | — | — | $296 – $296 |
| 9 | Medica ma snp fee schedule · both | $296 | $296 | — | — | — | $296 – $296 |
| 10 | Medica prime solution fee schedule · both | $296 | $296 | — | — | — | $296 – $296 |
| 11 | Medica vantage fee schedule · both | $296 | $296 | — | — | — | $296 – $296 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $297 | $297 | — | — | — | $297 – $297 |
| 13 | Ucare mhcp fee schedule · both | $304 | $304 | — | — | — | $304 – $304 |
| 14 | Cigna commercial fee schedule · both | $365 | $365 | $32 | 9% | — | $334 – $397 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $491 | $491 | — | — | — | $491 – $491 |
| 16 | Medica bold fee schedule · both | $514 | $514 | — | — | — | $514 – $514 |
| 17 | Medica choice without / elect fee schedule · both | $571 | $571 | — | — | — | $571 – $571 |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $571 | $571 | — | — | — | $571 – $571 |
| 19 | Medica choice with fee schedule · both | $591 | $591 | — | — | — | $591 – $591 |
| 20 | UnitedHealthcare commercial fee schedule · both | $597 | $597 | — | — | — | $597 – $597 |
| 21 | Ucare ifp fee schedule · outpatient | $654 | $654 | — | — | — | $654 – $654 |
| 22 | Cigna commercial fee schedule · outpatient | $767 | $767 | $67 | 9% | — | $700 – $834 |
Last updated: May 18, 2026
See Pelvic control band and belt for leg brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.