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
Plast socket jts/thgh lacer
Maple Grove, MN
See all hospitals reporting HCPCS L5105 →Price type
Fairview Maple Grove Surgery Center’s median price of $5.2k is 11% above the median hospital's median price ($4.7k), higher than 68% of the 837 hospitals reporting HCPCS L5105. 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 | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $4.3k | $4.3k | — | — | — | $4.3k – $4.3k |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $4.4k | $4.4k | — | — | — | $4.4k – $4.4k |
| 6 | Medica accessability fee schedule · both | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 7 | Medica medicaid fee schedule · both | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 8 | Medica ma non-snp fee schedule · both | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 9 | Medica ma snp fee schedule · both | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 10 | Medica prime solution fee schedule · both | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 11 | Medica vantage fee schedule · both | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $4.9k | $4.9k | — | — | — | $4.9k – $4.9k |
| 13 | Ucare mhcp fee schedule · both | $5.1k | $5.1k | — | — | — | $5.1k – $5.1k |
| 14 | Cigna commercial fee schedule · both | $6.1k | $6.1k | $529 | 9% | — | $5.6k – $6.6k |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $8.2k | $8.2k | — | — | — | $8.2k – $8.2k |
| 16 | Medica bold fee schedule · both | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 17 | UnitedHealthcare commercial fee schedule · both | $8.9k | $8.9k | — | — | — | $8.9k – $8.9k |
| 18 | Medica choice without / elect fee schedule · both | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 20 | Medica choice with fee schedule · both | $9.8k | $9.8k | — | — | — | $9.8k – $9.8k |
| 21 | Ucare ifp fee schedule · outpatient | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 22 | Cigna commercial fee schedule · outpatient | $12.8k | $12.8k | $1.1k | 9% | — | $11.7k – $13.9k |
Last updated: May 18, 2026
See Below-knee prosthetic with plastic socket and joints pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.