Gluteal pad for pelvic control brace 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

Pelv & thor control gluteal

Maple Grove, MN

See all hospitals reporting HCPCS L2650 →

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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 $186 is 12% above the median hospital's median price ($166), higher than 76% of the 835 hospitals reporting HCPCS L2650. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L2650 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	$143	$143	—	—	—	$143 – $143
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$145	$145	—	—	—	$145 – $145
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$145	$145	—	—	—	$145 – $145
4	Blue Cross Blue Shield federal fee schedule · both	$155	$155	—	—	—	$155 – $155
5	Blue Cross Blue Shield commercial fee schedule · both	$157	$157	—	—	—	$157 – $157
6	Medica accessability fee schedule · both	$163	$163	—	—	—	$163 – $163
7	Medica medicaid fee schedule · both	$163	$163	—	—	—	$163 – $163
8	Medica ma non-snp fee schedule · both	$177	$177	—	—	—	$177 – $177
9	Medica ma snp fee schedule · both	$177	$177	—	—	—	$177 – $177
10	Medica prime solution fee schedule · both	$177	$177	—	—	—	$177 – $177
11	Medica vantage fee schedule · both	$177	$177	—	—	—	$177 – $177
12	Blue Cross Blue Shield medicaid fee schedule · both	$177	$177	—	—	—	$177 – $177
13	Ucare mhcp fee schedule · both	$182	$182	—	—	—	$182 – $182
14	Cigna commercial fee schedule · both	$218	$218	$19	9%	—	$199 – $237
15	UnitedHealthcare commercial fee schedule · both	$289	$289	—	—	—	$289 – $289
16	Ucare ifp with fairview fee schedule · outpatient	$293	$293	—	—	—	$293 – $293
17	Medica bold fee schedule · both	$307	$307	—	—	—	$307 – $307
18	Medica choice without / elect fee schedule · both	$341	$341	—	—	—	$341 – $341
19	Medica city of st paul / essential uplan fee schedule · both	$341	$341	—	—	—	$341 – $341
20	Medica choice with fee schedule · both	$353	$353	—	—	—	$353 – $353
21	Ucare ifp fee schedule · outpatient	$391	$391	—	—	—	$391 – $391
22	Cigna commercial fee schedule · outpatient	$458	$458	$40	9%	—	$418 – $498

Last updated: May 18, 2026

Compare to other hospitals

See Gluteal pad for pelvic control brace pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.