Above-knee rigid dressing for post-surgical prosthetic fitting 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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Postop app non-wgt bear dsg

Maple Grove, MN

See all hospitals reporting HCPCS L5460 →

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $837 is 7% above the median hospital's median price ($783), higher than 56% of the 927 hospitals reporting HCPCS L5460. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5460 at Fairview Maple Grove Surgery Center

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	$641	$641	—	—	—	$641 – $641
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$653	$653	—	—	—	$653 – $653
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$653	$653	—	—	—	$653 – $653
4	Blue Cross Blue Shield federal fee schedule · both	$695	$695	—	—	—	$695 – $695
5	Blue Cross Blue Shield commercial fee schedule · both	$707	$707	—	—	—	$707 – $707
6	Medica accessability fee schedule · both	$731	$731	—	—	—	$731 – $731
7	Medica medicaid fee schedule · both	$731	$731	—	—	—	$731 – $731
8	Medica ma non-snp fee schedule · both	$794	$794	—	—	—	$794 – $794
9	Medica ma snp fee schedule · both	$794	$794	—	—	—	$794 – $794
10	Medica prime solution fee schedule · both	$794	$794	—	—	—	$794 – $794
11	Medica vantage fee schedule · both	$794	$794	—	—	—	$794 – $794
12	Blue Cross Blue Shield medicaid fee schedule · both	$797	$797	—	—	—	$797 – $797
13	Ucare mhcp fee schedule · both	$816	$816	—	—	—	$816 – $816
14	Cigna commercial fee schedule · both	$980	$980	$85	9%	—	$895 – $1.1k
15	Ucare ifp with fairview fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
16	Medica bold fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
17	UnitedHealthcare commercial fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
18	Medica choice without / elect fee schedule · both	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
19	Medica city of st paul / essential uplan fee schedule · both	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
20	Medica choice with fee schedule · both	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
21	Ucare ifp fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
22	Cigna commercial fee schedule · outpatient	$2.1k	$2.1k	$179	9%	—	$1.9k – $2.2k

Last updated: May 18, 2026

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See Above-knee rigid dressing for post-surgical prosthetic fitting pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.