Quick-change self-aligning prosthetic knee attachment 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

AK/BK self-aligning unit ea

Maple Grove, MN

See all hospitals reporting HCPCS L5617 →

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $755 is 7% above the median hospital's median price ($707), higher than 73% of the 830 hospitals reporting HCPCS L5617. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5617 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	$579	$579	—	—	—	$579 – $579
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$589	$589	—	—	—	$589 – $589
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$589	$589	—	—	—	$589 – $589
4	Blue Cross Blue Shield federal fee schedule · both	$627	$627	—	—	—	$627 – $627
5	Blue Cross Blue Shield commercial fee schedule · both	$638	$638	—	—	—	$638 – $638
6	Medica accessability fee schedule · both	$660	$660	—	—	—	$660 – $660
7	Medica medicaid fee schedule · both	$660	$660	—	—	—	$660 – $660
8	Medica ma non-snp fee schedule · both	$716	$716	—	—	—	$716 – $716
9	Medica ma snp fee schedule · both	$716	$716	—	—	—	$716 – $716
10	Medica prime solution fee schedule · both	$716	$716	—	—	—	$716 – $716
11	Medica vantage fee schedule · both	$716	$716	—	—	—	$716 – $716
12	Blue Cross Blue Shield medicaid fee schedule · both	$718	$718	—	—	—	$718 – $718
13	Ucare mhcp fee schedule · both	$736	$736	—	—	—	$736 – $736
14	Cigna commercial fee schedule · both	$884	$884	$77	9%	—	$807 – $961
15	Ucare ifp with fairview fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
16	Medica bold fee schedule · both	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
17	UnitedHealthcare commercial fee schedule · both	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
18	Medica choice without / elect fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
19	Medica city of st paul / essential uplan fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
20	Medica choice with fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
21	Ucare ifp fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
22	Cigna commercial fee schedule · outpatient	$1.9k	$1.9k	$161	9%	—	$1.7k – $2.0k

Last updated: May 18, 2026

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