Below-knee prosthesis suspension sleeve add-on 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

Below knee sus/seal sleeve

Maple Grove, MN

See all hospitals reporting HCPCS L5685 →

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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 $174 is 8% above the median hospital's median price ($162), higher than 69% of the 921 hospitals reporting HCPCS L5685. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5685 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	$132	$132	—	—	—	$132 – $132
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
4	Blue Cross Blue Shield federal fee schedule · both	$143	$143	—	—	—	$143 – $143
5	Blue Cross Blue Shield commercial fee schedule · both	$146	$146	—	—	—	$146 – $146
6	Medica accessability fee schedule · both	$151	$151	—	—	—	$151 – $151
7	Medica medicaid fee schedule · both	$151	$151	—	—	—	$151 – $151
8	Medica ma non-snp fee schedule · both	$164	$164	—	—	—	$164 – $164
9	Medica ma snp fee schedule · both	$164	$164	—	—	—	$164 – $164
10	Medica prime solution fee schedule · both	$164	$164	—	—	—	$164 – $164
11	Medica vantage fee schedule · both	$164	$164	—	—	—	$164 – $164
12	Blue Cross Blue Shield medicaid fee schedule · both	$165	$165	—	—	—	$165 – $165
13	Ucare mhcp fee schedule · both	$168	$168	—	—	—	$168 – $168
14	Cigna commercial fee schedule · both	$202	$202	$18	9%	—	$185 – $220
15	Ucare ifp with fairview fee schedule · outpatient	$272	$272	—	—	—	$272 – $272
16	Medica bold fee schedule · both	$285	$285	—	—	—	$285 – $285
17	UnitedHealthcare commercial fee schedule · both	$296	$296	—	—	—	$296 – $296
18	Medica choice without / elect fee schedule · both	$316	$316	—	—	—	$316 – $316
19	Medica city of st paul / essential uplan fee schedule · both	$316	$316	—	—	—	$316 – $316
20	Medica choice with fee schedule · both	$327	$327	—	—	—	$327 – $327
21	Ucare ifp fee schedule · outpatient	$362	$362	—	—	—	$362 – $362
22	Cigna commercial fee schedule · outpatient	$425	$425	$37	9%	—	$388 – $462

Last updated: May 18, 2026

Compare to other hospitals

See Below-knee prosthesis suspension sleeve add-on pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.