Upper arm prosthesis addition, ultralight material 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Add UE prost a/e ultlite mat

Maple Grove, MN

See all hospitals reporting HCPCS L7401 →

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $467 is 8% above the median hospital's median price ($433), higher than 75% of the 821 hospitals reporting HCPCS L7401. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L7401 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	$355	$355	—	—	—	$355 – $355
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$361	$361	—	—	—	$361 – $361
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$361	$361	—	—	—	$361 – $361
4	Blue Cross Blue Shield federal fee schedule · both	$384	$384	—	—	—	$384 – $384
5	Blue Cross Blue Shield commercial fee schedule · both	$391	$391	—	—	—	$391 – $391
6	Medica accessability fee schedule · both	$404	$404	—	—	—	$404 – $404
7	Medica medicaid fee schedule · both	$404	$404	—	—	—	$404 – $404
8	Medica ma non-snp fee schedule · both	$439	$439	—	—	—	$439 – $439
9	Medica ma snp fee schedule · both	$439	$439	—	—	—	$439 – $439
10	Medica prime solution fee schedule · both	$439	$439	—	—	—	$439 – $439
11	Medica vantage fee schedule · both	$439	$439	—	—	—	$439 – $439
12	Blue Cross Blue Shield medicaid fee schedule · both	$441	$441	—	—	—	$441 – $441
13	Ucare mhcp fee schedule · both	$451	$451	—	—	—	$451 – $451
14	Cigna commercial fee schedule · both	$542	$542	$47	9%	—	$495 – $589
15	Ucare ifp with fairview fee schedule · outpatient	$728	$728	—	—	—	$728 – $728
16	Medica bold fee schedule · both	$763	$763	—	—	—	$763 – $763
17	UnitedHealthcare commercial fee schedule · both	$792	$792	—	—	—	$792 – $792
18	Medica choice without / elect fee schedule · both	$847	$847	—	—	—	$847 – $847
19	Medica city of st paul / essential uplan fee schedule · both	$847	$847	—	—	—	$847 – $847
20	Medica choice with fee schedule · both	$877	$877	—	—	—	$877 – $877
21	Ucare ifp fee schedule · outpatient	$971	$971	—	—	—	$971 – $971
22	Cigna commercial fee schedule · outpatient	$1.1k	$1.1k	$99	9%	—	$1.0k – $1.2k

Last updated: May 18, 2026

Compare to other hospitals

See Upper arm prosthesis addition, ultralight material pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.