Men's orthopedic depth shoes 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

Orthopedic mens shoes dpth i

Maple Grove, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $105 is 22% below the median hospital's median price ($135), higher than 38% of the 410 hospitals reporting HCPCS L3221. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3221 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	$91	$91	—	—	—	$91 – $91
2	Medica ma snp fee schedule · both	$91	$91	—	—	—	$91 – $91
3	Medica prime solution fee schedule · both	$91	$91	—	—	—	$91 – $91
4	Medica vantage fee schedule · both	$91	$91	—	—	—	$91 – $91
5	Blue Cross Blue Shield federal fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
6	Blue Cross Blue Shield commercial fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
7	Blue Cross Blue Shield medicaid fee schedule · outpatient	$96	$96	—	—	—	$96 – $96
8	Blue Cross Blue Shield federal fee schedule · both	$96	$96	—	—	—	$96 – $96
9	Blue Cross Blue Shield commercial fee schedule · both	$98	$98	—	—	—	$98 – $98
10	Cigna commercial fee schedule · both	$115	$115	$10	9%	—	$105 – $126
11	Medica bold fee schedule · both	$165	$165	—	—	—	$165 – $165
12	Medica choice without / elect fee schedule · both	$183	$183	—	—	—	$183 – $183
13	Medica city of st paul / essential uplan fee schedule · both	$183	$183	—	—	—	$183 – $183
14	Medica choice with fee schedule · both	$189	$189	—	—	—	$189 – $189
15	UnitedHealthcare commercial fee schedule · both	$242	$242	—	—	—	$242 – $242
16	Cigna commercial fee schedule · outpatient	$242	$242	$21	9%	—	$221 – $264

Last updated: May 18, 2026

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