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
Elec knee-shin swing only
Maple Grove, MN
See all hospitals reporting HCPCS L5857 →Price type
Fairview Maple Grove Surgery Center’s median price of $11.5k is 7% above the median hospital's median price ($10.8k), higher than 71% of the 831 hospitals reporting HCPCS L5857. 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 | $8.8k | $8.8k | — | — | — | $8.8k – $8.8k |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $9.0k | $9.0k | — | — | — | $9.0k – $9.0k |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $9.5k | $9.5k | — | — | — | $9.5k – $9.5k |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 6 | Medica accessability fee schedule · both | $10.0k | $10.0k | — | — | — | $10.0k – $10.0k |
| 7 | Medica medicaid fee schedule · both | $10.0k | $10.0k | — | — | — | $10.0k – $10.0k |
| 8 | Medica ma non-snp fee schedule · both | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 9 | Medica ma snp fee schedule · both | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 10 | Medica prime solution fee schedule · both | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 11 | Medica vantage fee schedule · both | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $10.9k | $10.9k | — | — | — | $10.9k – $10.9k |
| 13 | Ucare mhcp fee schedule · both | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 14 | Cigna commercial fee schedule · both | $13.5k | $13.5k | $1.2k | 9% | — | $12.3k – $14.6k |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $18.1k | $18.1k | — | — | — | $18.1k – $18.1k |
| 16 | Medica bold fee schedule · both | $18.9k | $18.9k | — | — | — | $18.9k – $18.9k |
| 17 | UnitedHealthcare commercial fee schedule · both | $19.7k | $19.7k | — | — | — | $19.7k – $19.7k |
| 18 | Medica choice without / elect fee schedule · both | $21.0k | $21.0k | — | — | — | $21.0k – $21.0k |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $21.0k | $21.0k | — | — | — | $21.0k – $21.0k |
| 20 | Medica choice with fee schedule · both | $21.8k | $21.8k | — | — | — | $21.8k – $21.8k |
| 21 | Ucare ifp fee schedule · outpatient | $24.1k | $24.1k | — | — | — | $24.1k – $24.1k |
| 22 | Cigna commercial fee schedule · outpatient | $28.3k | $28.3k | $2.5k | 9% | — | $25.8k – $30.7k |
Last updated: May 18, 2026
See Microprocessor swing-phase control add-on for leg prosthesis pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.