Below-knee prosthetic socket insert, multi-durometer addition 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 below knee

Maple Grove, MN

See all hospitals reporting HCPCS L5665 →

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $782 is 13% above the median hospital's median price ($690), higher than 70% of the 830 hospitals reporting HCPCS L5665. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5665 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	$599	$599	—	—	—	$599 – $599
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$610	$610	—	—	—	$610 – $610
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$610	$610	—	—	—	$610 – $610
4	Blue Cross Blue Shield federal fee schedule · both	$648	$648	—	—	—	$648 – $648
5	Blue Cross Blue Shield commercial fee schedule · both	$660	$660	—	—	—	$660 – $660
6	Medica accessability fee schedule · both	$683	$683	—	—	—	$683 – $683
7	Medica medicaid fee schedule · both	$683	$683	—	—	—	$683 – $683
8	Medica ma non-snp fee schedule · both	$741	$741	—	—	—	$741 – $741
9	Medica ma snp fee schedule · both	$741	$741	—	—	—	$741 – $741
10	Medica prime solution fee schedule · both	$741	$741	—	—	—	$741 – $741
11	Medica vantage fee schedule · both	$741	$741	—	—	—	$741 – $741
12	Blue Cross Blue Shield medicaid fee schedule · both	$744	$744	—	—	—	$744 – $744
13	Ucare mhcp fee schedule · both	$761	$761	—	—	—	$761 – $761
14	Cigna commercial fee schedule · both	$915	$915	$80	9%	—	$836 – $995
15	Ucare ifp with fairview fee schedule · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
16	Medica bold fee schedule · both	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
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	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
21	Ucare ifp fee schedule · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k
22	Cigna commercial fee schedule · outpatient	$1.9k	$1.9k	$167	9%	—	$1.8k – $2.1k

Last updated: May 18, 2026

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See Below-knee prosthetic socket insert, multi-durometer addition pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.