Prosthetic leg socket insert with multiple firmness levels 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

Multi-durometer symes

Maple Grove, MN

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $879 is 12% above the median hospital's median price ($786), higher than 70% of the 829 hospitals reporting HCPCS L5661. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5661 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	$674	$674	—	—	—	$674 – $674
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$686	$686	—	—	—	$686 – $686
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$686	$686	—	—	—	$686 – $686
4	Blue Cross Blue Shield federal fee schedule · both	$729	$729	—	—	—	$729 – $729
5	Blue Cross Blue Shield commercial fee schedule · both	$743	$743	—	—	—	$743 – $743
6	Medica accessability fee schedule · both	$768	$768	—	—	—	$768 – $768
7	Medica medicaid fee schedule · both	$768	$768	—	—	—	$768 – $768
8	Medica ma non-snp fee schedule · both	$833	$833	—	—	—	$833 – $833
9	Medica ma snp fee schedule · both	$833	$833	—	—	—	$833 – $833
10	Medica prime solution fee schedule · both	$833	$833	—	—	—	$833 – $833
11	Medica vantage fee schedule · both	$833	$833	—	—	—	$833 – $833
12	Blue Cross Blue Shield medicaid fee schedule · both	$836	$836	—	—	—	$836 – $836
13	Ucare mhcp fee schedule · both	$856	$856	—	—	—	$856 – $856
14	Cigna commercial fee schedule · both	$1.0k	$1.0k	$90	9%	—	$940 – $1.1k
15	Ucare ifp with fairview fee schedule · outpatient	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
16	Medica bold fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
17	UnitedHealthcare commercial fee schedule · both	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
18	Medica choice without / elect fee schedule · both	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
19	Medica city of st paul / essential uplan fee schedule · both	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
20	Medica choice with fee schedule · both	$1.7k	$1.7k	—	—	—	$1.7k – $1.7k
21	Ucare ifp fee schedule · outpatient	$1.8k	$1.8k	—	—	—	$1.8k – $1.8k
22	Cigna commercial fee schedule · outpatient	$2.2k	$2.2k	$188	9%	—	$2.0k – $2.3k

Last updated: May 18, 2026

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