Ultralight shoulder prosthesis add-on part 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 s/d ultlite mat

Maple Grove, MN

See all hospitals reporting HCPCS L7402 →

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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 $505 is 8% above the median hospital's median price ($468), higher than 72% of the 819 hospitals reporting HCPCS L7402. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L7402 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	$383	$383	—	—	—	$383 – $383
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$390	$390	—	—	—	$390 – $390
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$390	$390	—	—	—	$390 – $390
4	Blue Cross Blue Shield federal fee schedule · both	$415	$415	—	—	—	$415 – $415
5	Blue Cross Blue Shield commercial fee schedule · both	$422	$422	—	—	—	$422 – $422
6	Medica accessability fee schedule · both	$437	$437	—	—	—	$437 – $437
7	Medica medicaid fee schedule · both	$437	$437	—	—	—	$437 – $437
8	Medica ma non-snp fee schedule · both	$474	$474	—	—	—	$474 – $474
9	Medica ma snp fee schedule · both	$474	$474	—	—	—	$474 – $474
10	Medica prime solution fee schedule · both	$474	$474	—	—	—	$474 – $474
11	Medica vantage fee schedule · both	$474	$474	—	—	—	$474 – $474
12	Blue Cross Blue Shield medicaid fee schedule · both	$476	$476	—	—	—	$476 – $476
13	Ucare mhcp fee schedule · both	$487	$487	—	—	—	$487 – $487
14	Cigna commercial fee schedule · both	$586	$586	$51	9%	—	$535 – $637
15	Ucare ifp with fairview fee schedule · outpatient	$787	$787	—	—	—	$787 – $787
16	Medica bold fee schedule · both	$824	$824	—	—	—	$824 – $824
17	UnitedHealthcare commercial fee schedule · both	$856	$856	—	—	—	$856 – $856
18	Medica choice without / elect fee schedule · both	$915	$915	—	—	—	$915 – $915
19	Medica city of st paul / essential uplan fee schedule · both	$915	$915	—	—	—	$915 – $915
20	Medica choice with fee schedule · both	$947	$947	—	—	—	$947 – $947
21	Ucare ifp fee schedule · outpatient	$1.0k	$1.0k	—	—	—	$1.0k – $1.0k
22	Cigna commercial fee schedule · outpatient	$1.2k	$1.2k	$107	9%	—	$1.1k – $1.3k

Last updated: May 18, 2026

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