Replacement gasket or seal for prosthetic socket 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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Pros soc insert gasket/seal

Maple Grove, MN

See all hospitals reporting HCPCS L7700 →

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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 $204 is 28% above the median hospital's median price ($160), higher than 84% of the 818 hospitals reporting HCPCS L7700. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS L7700 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	$155	$155	—	—	—	$155 – $155
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$158	$158	—	—	—	$158 – $158
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$158	$158	—	—	—	$158 – $158
4	Blue Cross Blue Shield federal fee schedule · both	$168	$168	—	—	—	$168 – $168
5	Blue Cross Blue Shield commercial fee schedule · both	$171	$171	—	—	—	$171 – $171
6	Medica accessability fee schedule · both	$176	$176	—	—	—	$176 – $176
7	Medica medicaid fee schedule · both	$176	$176	—	—	—	$176 – $176
8	Medica ma non-snp fee schedule · both	$191	$191	—	—	—	$191 – $191
9	Medica ma snp fee schedule · both	$191	$191	—	—	—	$191 – $191
10	Medica prime solution fee schedule · both	$191	$191	—	—	—	$191 – $191
11	Medica vantage fee schedule · both	$191	$191	—	—	—	$191 – $191
12	Blue Cross Blue Shield medicaid fee schedule · both	$192	$192	—	—	—	$192 – $192
13	Ucare mhcp fee schedule · both	$197	$197	—	—	—	$197 – $197
14	Cigna commercial fee schedule · both	$237	$237	$21	9%	—	$216 – $257
15	UnitedHealthcare commercial fee schedule · both	$290	$290	—	—	—	$290 – $290
16	Ucare ifp with fairview fee schedule · outpatient	$318	$318	—	—	—	$318 – $318
17	Medica bold fee schedule · both	$333	$333	—	—	—	$333 – $333
18	Medica choice without / elect fee schedule · both	$370	$370	—	—	—	$370 – $370
19	Medica city of st paul / essential uplan fee schedule · both	$370	$370	—	—	—	$370 – $370
20	Medica choice with fee schedule · both	$382	$382	—	—	—	$382 – $382
21	Ucare ifp fee schedule · outpatient	$423	$423	—	—	—	$423 – $423
22	Cigna commercial fee schedule · outpatient	$497	$497	$43	9%	—	$454 – $540

Last updated: May 18, 2026

Compare to other hospitals

See Replacement gasket or seal for prosthetic socket pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.