High-top shoe with pronator support for child 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

Hightop w/ supp/pronator chi

Maple Grove, MN

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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 $59 is 4% above the median hospital's median price ($57), higher than 56% of the 332 hospitals reporting HCPCS L3206. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3206 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 4 payers, 16 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	Medica ma non-snp fee schedule · both	$37	$37	—	—	—	$37 – $37
2	Medica ma snp fee schedule · both	$37	$37	—	—	—	$37 – $37
3	Medica prime solution fee schedule · both	$37	$37	—	—	—	$37 – $37
4	Medica vantage fee schedule · both	$37	$37	—	—	—	$37 – $37
5	Cigna commercial fee schedule · both	$47	$47	$4	9%	—	$42 – $51
6	Blue Cross Blue Shield federal fee schedule · both	$58	$58	—	—	—	$58 – $58
7	Blue Cross Blue Shield federal fee schedule · outpatient	$58	$58	—	—	—	$58 – $58
8	Blue Cross Blue Shield commercial fee schedule · both	$59	$59	—	—	—	$59 – $59
9	Blue Cross Blue Shield commercial fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
10	Blue Cross Blue Shield medicaid fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
11	Medica bold fee schedule · both	$66	$66	—	—	—	$66 – $66
12	Medica choice without / elect fee schedule · both	$74	$74	—	—	—	$74 – $74
13	Medica city of st paul / essential uplan fee schedule · both	$74	$74	—	—	—	$74 – $74
14	Medica choice with fee schedule · both	$76	$76	—	—	—	$76 – $76
15	UnitedHealthcare commercial fee schedule · both	$98	$98	—	—	—	$98 – $98
16	Cigna commercial fee schedule · outpatient	$98	$98	$9	9%	—	$89 – $106

Last updated: May 18, 2026

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