Symes-type lower leg prosthesis addition with PTB socket 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Symes type ptb brim design s

Maple Grove, MN

See all hospitals reporting HCPCS L5632 →

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $363 is 15% above the median hospital's median price ($317), higher than 76% of the 839 hospitals reporting HCPCS L5632. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5632 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	$278	$278	—	—	—	$278 – $278
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$283	$283	—	—	—	$283 – $283
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$283	$283	—	—	—	$283 – $283
4	Blue Cross Blue Shield federal fee schedule · both	$302	$302	—	—	—	$302 – $302
5	Blue Cross Blue Shield commercial fee schedule · both	$307	$307	—	—	—	$307 – $307
6	Medica accessability fee schedule · both	$317	$317	—	—	—	$317 – $317
7	Medica medicaid fee schedule · both	$317	$317	—	—	—	$317 – $317
8	Medica ma non-snp fee schedule · both	$345	$345	—	—	—	$345 – $345
9	Medica ma snp fee schedule · both	$345	$345	—	—	—	$345 – $345
10	Medica prime solution fee schedule · both	$345	$345	—	—	—	$345 – $345
11	Medica vantage fee schedule · both	$345	$345	—	—	—	$345 – $345
12	Blue Cross Blue Shield medicaid fee schedule · both	$346	$346	—	—	—	$346 – $346
13	Ucare mhcp fee schedule · both	$354	$354	—	—	—	$354 – $354
14	Cigna commercial fee schedule · both	$425	$425	$37	9%	—	$388 – $462
15	UnitedHealthcare commercial fee schedule · both	$571	$571	—	—	—	$571 – $571
16	Ucare ifp with fairview fee schedule · outpatient	$572	$572	—	—	—	$572 – $572
17	Medica bold fee schedule · both	$598	$598	—	—	—	$598 – $598
18	Medica choice without / elect fee schedule · both	$665	$665	—	—	—	$665 – $665
19	Medica city of st paul / essential uplan fee schedule · both	$665	$665	—	—	—	$665 – $665
20	Medica choice with fee schedule · both	$688	$688	—	—	—	$688 – $688
21	Ucare ifp fee schedule · outpatient	$762	$762	—	—	—	$762 – $762
22	Cigna commercial fee schedule · outpatient	$893	$893	$78	9%	—	$816 – $971

Last updated: May 18, 2026

Compare to other hospitals

See Symes-type lower leg prosthesis addition with PTB socket pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.