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
Knee cap medial or lateral p
Maple Grove, MN
See all hospitals reporting HCPCS L2800 →Price type
Fairview Maple Grove Surgery Center’s median price of $136 is 5% above the median hospital's median price ($129), higher than 61% of the 873 hospitals reporting HCPCS L2800. 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 | $104 | $104 | — | — | — | $104 – $104 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $113 | $113 | — | — | — | $113 – $113 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $115 | $115 | — | — | — | $115 – $115 |
| 6 | Medica accessability fee schedule · both | $118 | $118 | — | — | — | $118 – $118 |
| 7 | Medica medicaid fee schedule · both | $118 | $118 | — | — | — | $118 – $118 |
| 8 | Medica ma non-snp fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 9 | Medica ma snp fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 10 | Medica prime solution fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 11 | Medica vantage fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 13 | Ucare mhcp fee schedule · both | $132 | $132 | — | — | — | $132 – $132 |
| 14 | Cigna commercial fee schedule · both | $159 | $159 | $14 | 9% | — | $145 – $173 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 16 | Medica bold fee schedule · both | $223 | $223 | — | — | — | $223 – $223 |
| 17 | Medica choice without / elect fee schedule · both | $248 | $248 | — | — | — | $248 – $248 |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $248 | $248 | — | — | — | $248 – $248 |
| 19 | Medica choice with fee schedule · both | $257 | $257 | — | — | — | $257 – $257 |
| 20 | UnitedHealthcare commercial fee schedule · both | $257 | $257 | — | — | — | $257 – $257 |
| 21 | Ucare ifp fee schedule · outpatient | $284 | $284 | — | — | — | $284 – $284 |
| 22 | Cigna commercial fee schedule · outpatient | $334 | $334 | $29 | 9% | — | $305 – $363 |
Last updated: May 18, 2026
See Knee brace add-on: medial or lateral pull knee cap pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.