Lower leg prosthesis with single-axis ankle and flexible foot 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

Combo ankle/foot prosthesis

Maple Grove, MN

See all hospitals reporting HCPCS L5975 →

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Pricing by billing methodology

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $626 is 7% above the median hospital's median price ($584), higher than 74% of the 826 hospitals reporting HCPCS L5975. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L5975 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	$479	$479	—	—	—	$479 – $479
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$488	$488	—	—	—	$488 – $488
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$488	$488	—	—	—	$488 – $488
4	Blue Cross Blue Shield federal fee schedule · both	$519	$519	—	—	—	$519 – $519
5	Blue Cross Blue Shield commercial fee schedule · both	$529	$529	—	—	—	$529 – $529
6	Medica accessability fee schedule · both	$547	$547	—	—	—	$547 – $547
7	Medica medicaid fee schedule · both	$547	$547	—	—	—	$547 – $547
8	Medica ma non-snp fee schedule · both	$593	$593	—	—	—	$593 – $593
9	Medica ma snp fee schedule · both	$593	$593	—	—	—	$593 – $593
10	Medica prime solution fee schedule · both	$593	$593	—	—	—	$593 – $593
11	Medica vantage fee schedule · both	$593	$593	—	—	—	$593 – $593
12	Blue Cross Blue Shield medicaid fee schedule · both	$595	$595	—	—	—	$595 – $595
13	Ucare mhcp fee schedule · both	$610	$610	—	—	—	$610 – $610
14	Cigna commercial fee schedule · both	$733	$733	$64	9%	—	$669 – $796
15	Ucare ifp with fairview fee schedule · outpatient	$984	$984	—	—	—	$984 – $984
16	Medica bold fee schedule · both	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
17	UnitedHealthcare commercial fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
18	Medica choice without / elect fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
19	Medica city of st paul / essential uplan fee schedule · both	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
20	Medica choice with fee schedule · both	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
21	Ucare ifp fee schedule · outpatient	$1.3k	$1.3k	—	—	—	$1.3k – $1.3k
22	Cigna commercial fee schedule · outpatient	$1.5k	$1.5k	$134	9%	—	$1.4k – $1.7k

Last updated: May 18, 2026

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See Lower leg prosthesis with single-axis ankle and flexible foot pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.