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.
Original text from hospital filings
Bk knee joints single axis p
Maple Grove, MN
See all hospitals reporting HCPCS L5676 →Price type
Fairview Maple Grove Surgery Center’s median price of $486 is 8% below the median hospital's median price ($527), higher than 45% of the 836 hospitals reporting HCPCS L5676. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $373 | $373 | — | — | — | $373 – $373 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $379 | $379 | — | — | — | $379 – $379 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $404 | $404 | — | — | — | $404 – $404 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $411 | $411 | — | — | — | $411 – $411 |
| 6 | Medica accessability fee schedule · both | $425 | $425 | — | — | — | $425 – $425 |
| 7 | Medica medicaid fee schedule · both | $425 | $425 | — | — | — | $425 – $425 |
| 8 | Medica ma non-snp fee schedule · both | $461 | $461 | — | — | — | $461 – $461 |
| 9 | Medica ma snp fee schedule · both | $461 | $461 | — | — | — | $461 – $461 |
| 10 | Medica prime solution fee schedule · both | $461 | $461 | — | — | — | $461 – $461 |
| 11 | Medica vantage fee schedule · both | $461 | $461 | — | — | — | $461 – $461 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $463 | $463 | — | — | — | $463 – $463 |
| 13 | Ucare mhcp fee schedule · both | $474 | $474 | — | — | — | $474 – $474 |
| 14 | Cigna commercial fee schedule · both | $569 | $569 | $50 | 9% | — | $520 – $619 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $765 | $765 | — | — | — | $765 – $765 |
| 16 | Medica bold fee schedule · both | $801 | $801 | — | — | — | $801 – $801 |
| 17 | Medica choice without / elect fee schedule · both | $890 | $890 | — | — | — | $890 – $890 |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $890 | $890 | — | — | — | $890 – $890 |
| 19 | Medica choice with fee schedule · both | $921 | $921 | — | — | — | $921 – $921 |
| 20 | UnitedHealthcare commercial fee schedule · both | $931 | $931 | — | — | — | $931 – $931 |
| 21 | Ucare ifp fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 22 | Cigna commercial fee schedule · outpatient | $1.2k | $1.2k | $104 | 9% | — | $1.1k – $1.3k |
Last updated: May 18, 2026
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