Foot orthosis add-on charge, split style 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

Orth foot add charge split s

Maple Grove, MN

See all hospitals reporting HCPCS L3257 →

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $46 is 11% below the median hospital's median price ($51), higher than 45% of the 331 hospitals reporting HCPCS L3257. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L3257 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	$23	$23	—	—	—	$23 – $23
2	Medica ma snp fee schedule · both	$23	$23	—	—	—	$23 – $23
3	Medica prime solution fee schedule · both	$23	$23	—	—	—	$23 – $23
4	Medica vantage fee schedule · both	$23	$23	—	—	—	$23 – $23
5	Cigna commercial fee schedule · both	$29	$29	$3	9%	—	$26 – $32
6	Medica bold fee schedule · both	$41	$41	—	—	—	$41 – $41
7	Medica choice without / elect fee schedule · both	$46	$46	—	—	—	$46 – $46
8	Medica city of st paul / essential uplan fee schedule · both	$46	$46	—	—	—	$46 – $46
9	Medica choice with fee schedule · both	$47	$47	—	—	—	$47 – $47
10	UnitedHealthcare commercial fee schedule · both	$60	$60	—	—	—	$60 – $60
11	Cigna commercial fee schedule · outpatient	$61	$61	$5	9%	—	$56 – $66
12	Blue Cross Blue Shield federal fee schedule · both	$64	$64	—	—	—	$64 – $64
13	Blue Cross Blue Shield federal fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
14	Blue Cross Blue Shield commercial fee schedule · both	$65	$65	—	—	—	$65 – $65
15	Blue Cross Blue Shield commercial fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
16	Blue Cross Blue Shield medicaid fee schedule · outpatient	$65	$65	—	—	—	$65 – $65

Last updated: May 18, 2026

Compare to other hospitals

See Foot orthosis add-on charge, split style pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.