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
Exoskeletal ak ultra-light m
Maple Grove, MN
See all hospitals reporting HCPCS L5790 →Price type
Fairview Maple Grove Surgery Center’s median price of $1.0k is 7% above the median hospital's median price ($943), higher than 55% of the 830 hospitals reporting HCPCS L5790. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield federal fee schedule · outpatient | $771 | $771 | — | — | — | $771 – $771 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $785 | $785 | — | — | — | $785 – $785 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $785 | $785 | — | — | — | $785 – $785 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $835 | $835 | — | — | — | $835 – $835 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $850 | $850 | — | — | — | $850 – $850 |
| 6 | Medica accessability fee schedule · both | $879 | $879 | — | — | — | $879 – $879 |
| 7 | Medica medicaid fee schedule · both | $879 | $879 | — | — | — | $879 – $879 |
| 8 | Medica ma non-snp fee schedule · both | $954 | $954 | — | — | — | $954 – $954 |
| 9 | Medica ma snp fee schedule · both | $954 | $954 | — | — | — | $954 – $954 |
| 10 | Medica prime solution fee schedule · both | $954 | $954 | — | — | — | $954 – $954 |
| 11 | Medica vantage fee schedule · both | $954 | $954 | — | — | — | $954 – $954 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $957 | $957 | — | — | — | $957 – $957 |
| 13 | Ucare mhcp fee schedule · both | $980 | $980 | — | — | — | $980 – $980 |
| 14 | Cigna commercial fee schedule · both | $1.2k | $1.2k | $102 | 9% | — | $1.1k – $1.3k |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $1.6k | $1.6k | — | — | — | $1.6k – $1.6k |
| 16 | Medica bold fee schedule · both | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Medica choice without / elect fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 18 | Medica city of st paul / essential uplan fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 19 | UnitedHealthcare commercial fee schedule · both | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 20 | Medica choice with fee schedule · both | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | Ucare ifp fee schedule · outpatient | $2.1k | $2.1k | — | — | — | $2.1k – $2.1k |
| 22 | Cigna commercial fee schedule · outpatient | $2.5k | $2.5k | $215 | 9% | — | $2.3k – $2.7k |
Last updated: May 18, 2026
See Above-knee prosthetic leg addition, ultra-light material pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.