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
Symes ankle w/o (SACH) foot
Maple Grove, MN
See all hospitals reporting HCPCS L5703 →Price type
Fairview Maple Grove Surgery Center’s median price of $3.4k is 13% above the median hospital's median price ($3.0k), higher than 76% of the 835 hospitals reporting HCPCS L5703. 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 | $2.6k | $2.6k | — | — | — | $2.6k – $2.6k |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $2.7k | $2.7k | — | — | — | $2.7k – $2.7k |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $2.9k | $2.9k | — | — | — | $2.9k – $2.9k |
| 6 | Medica accessability fee schedule · both | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 7 | Medica medicaid fee schedule · both | $3.0k | $3.0k | — | — | — | $3.0k – $3.0k |
| 8 | Medica ma non-snp fee schedule · both | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 9 | Medica ma snp fee schedule · both | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 10 | Medica prime solution fee schedule · both | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 11 | Medica vantage fee schedule · both | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $3.2k | $3.2k | — | — | — | $3.2k – $3.2k |
| 13 | Ucare mhcp fee schedule · both | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 14 | Cigna commercial fee schedule · both | $4.0k | $4.0k | $347 | 9% | — | $3.6k – $4.3k |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 16 | UnitedHealthcare commercial fee schedule · both | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 17 | Medica bold fee schedule · both | $5.6k | $5.6k | — | — | — | $5.6k – $5.6k |
| 18 | Medica choice without / elect fee schedule · both | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $6.2k | $6.2k | — | — | — | $6.2k – $6.2k |
| 20 | Medica choice with fee schedule · both | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 21 | Ucare ifp fee schedule · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 22 | Cigna commercial fee schedule · outpatient | $8.4k | $8.4k | $728 | 9% | — | $7.6k – $9.1k |
Last updated: May 18, 2026
See Symes ankle prosthesis socket with heel foot replacement pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.