Above-knee prosthetic leg component, adjustable alignment system 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

Endo ak/hip alignable system

Maple Grove, MN

See all hospitals reporting HCPCS L5920 →

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $712 is about the same as the median hospital's median price ($716), higher than 49% of the 860 hospitals reporting HCPCS L5920. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5920 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	$546	$546	—	—	—	$546 – $546
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$555	$555	—	—	—	$555 – $555
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$555	$555	—	—	—	$555 – $555
4	Blue Cross Blue Shield federal fee schedule · both	$591	$591	—	—	—	$591 – $591
5	Blue Cross Blue Shield commercial fee schedule · both	$601	$601	—	—	—	$601 – $601
6	Medica accessability fee schedule · both	$622	$622	—	—	—	$622 – $622
7	Medica medicaid fee schedule · both	$622	$622	—	—	—	$622 – $622
8	Medica ma non-snp fee schedule · both	$675	$675	—	—	—	$675 – $675
9	Medica ma snp fee schedule · both	$675	$675	—	—	—	$675 – $675
10	Medica prime solution fee schedule · both	$675	$675	—	—	—	$675 – $675
11	Medica vantage fee schedule · both	$675	$675	—	—	—	$675 – $675
12	Blue Cross Blue Shield medicaid fee schedule · both	$677	$677	—	—	—	$677 – $677
13	Ucare mhcp fee schedule · both	$694	$694	—	—	—	$694 – $694
14	Cigna commercial fee schedule · both	$834	$834	$73	9%	—	$761 – $906
15	Ucare ifp with fairview fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
16	Medica bold fee schedule · both	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
17	Medica choice without / elect fee schedule · both	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
18	Medica city of st paul / essential uplan fee schedule · both	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
19	Medica choice with fee schedule · both	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
20	UnitedHealthcare commercial fee schedule · both	$1.4k	$1.4k	—	—	—	$1.4k – $1.4k
21	Ucare ifp fee schedule · outpatient	$1.5k	$1.5k	—	—	—	$1.5k – $1.5k
22	Cigna commercial fee schedule · outpatient	$1.8k	$1.8k	$152	9%	—	$1.6k – $1.9k

Last updated: May 18, 2026

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