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
Ank-foot sys dors-plant flex
Maple Grove, MN
See all hospitals reporting HCPCS L5973 →Price type
Fairview Maple Grove Surgery Center’s median price of $24.1k is 10% above the median hospital's median price ($21.9k), higher than 75% of the 821 hospitals reporting HCPCS L5973. 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 | $18.3k | $18.3k | — | — | — | $18.3k – $18.3k |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $18.6k | $18.6k | — | — | — | $18.6k – $18.6k |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $18.6k | $18.6k | — | — | — | $18.6k – $18.6k |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $19.8k | $19.8k | — | — | — | $19.8k – $19.8k |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $20.1k | $20.1k | — | — | — | $20.1k – $20.1k |
| 6 | Medica accessability fee schedule · both | $20.8k | $20.8k | — | — | — | $20.8k – $20.8k |
| 7 | Medica medicaid fee schedule · both | $20.8k | $20.8k | — | — | — | $20.8k – $20.8k |
| 8 | Medica ma non-snp fee schedule · both | $22.6k | $22.6k | — | — | — | $22.6k – $22.6k |
| 9 | Medica ma snp fee schedule · both | $22.6k | $22.6k | — | — | — | $22.6k – $22.6k |
| 10 | Medica prime solution fee schedule · both | $22.6k | $22.6k | — | — | — | $22.6k – $22.6k |
| 11 | Medica vantage fee schedule · both | $22.6k | $22.6k | — | — | — | $22.6k – $22.6k |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $22.7k | $22.7k | — | — | — | $22.7k – $22.7k |
| 13 | Ucare mhcp fee schedule · both | $23.2k | $23.2k | — | — | — | $23.2k – $23.2k |
| 14 | Cigna commercial fee schedule · both | $27.9k | $27.9k | $2.4k | 9% | — | $25.5k – $30.3k |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $37.5k | $37.5k | — | — | — | $37.5k – $37.5k |
| 16 | Medica bold fee schedule · both | $39.2k | $39.2k | — | — | — | $39.2k – $39.2k |
| 17 | UnitedHealthcare commercial fee schedule · both | $40.3k | $40.3k | — | — | — | $40.3k – $40.3k |
| 18 | Medica choice without / elect fee schedule · both | $43.6k | $43.6k | — | — | — | $43.6k – $43.6k |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $43.6k | $43.6k | — | — | — | $43.6k – $43.6k |
| 20 | Medica choice with fee schedule · both | $45.1k | $45.1k | — | — | — | $45.1k – $45.1k |
| 21 | Ucare ifp fee schedule · outpatient | $50.0k | $50.0k | — | — | — | $50.0k – $50.0k |
| 22 | Cigna commercial fee schedule · outpatient | $58.6k | $58.6k | $5.1k | 9% | — | $53.5k – $63.7k |
Last updated: May 18, 2026
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