Prosthetic addition for above-knee leg device, pelvic joint 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

Ak/knee disartic pelvic join

Maple Grove, MN

See all hospitals reporting HCPCS L5696 →

SharePost on X LinkedIn

Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $264 is 3% above the median hospital's median price ($256), higher than 52% of the 832 hospitals reporting HCPCS L5696. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5696 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.

Filter by billing methodology

Filter by billing class

#
1	Blue Cross Blue Shield federal fee schedule · outpatient	$203	$203	—	—	—	$203 – $203
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$206	$206	—	—	—	$206 – $206
4	Blue Cross Blue Shield federal fee schedule · both	$219	$219	—	—	—	$219 – $219
5	Blue Cross Blue Shield commercial fee schedule · both	$223	$223	—	—	—	$223 – $223
6	Medica accessability fee schedule · both	$231	$231	—	—	—	$231 – $231
7	Medica medicaid fee schedule · both	$231	$231	—	—	—	$231 – $231
8	Medica ma non-snp fee schedule · both	$251	$251	—	—	—	$251 – $251
9	Medica ma snp fee schedule · both	$251	$251	—	—	—	$251 – $251
10	Medica prime solution fee schedule · both	$251	$251	—	—	—	$251 – $251
11	Medica vantage fee schedule · both	$251	$251	—	—	—	$251 – $251
12	Blue Cross Blue Shield medicaid fee schedule · both	$252	$252	—	—	—	$252 – $252
13	Ucare mhcp fee schedule · both	$258	$258	—	—	—	$258 – $258
14	Cigna commercial fee schedule · both	$310	$310	$27	9%	—	$283 – $336
15	Ucare ifp with fairview fee schedule · outpatient	$416	$416	—	—	—	$416 – $416
16	Medica bold fee schedule · both	$435	$435	—	—	—	$435 – $435
17	UnitedHealthcare commercial fee schedule · both	$475	$475	—	—	—	$475 – $475
18	Medica choice without / elect fee schedule · both	$484	$484	—	—	—	$484 – $484
19	Medica city of st paul / essential uplan fee schedule · both	$484	$484	—	—	—	$484 – $484
20	Medica choice with fee schedule · both	$501	$501	—	—	—	$501 – $501
21	Ucare ifp fee schedule · outpatient	$554	$554	—	—	—	$554 – $554
22	Cigna commercial fee schedule · outpatient	$650	$650	$57	9%	—	$593 – $706

Last updated: May 18, 2026

Compare to other hospitals

See Prosthetic addition for above-knee leg device, pelvic joint pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.