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
Pros sock single ply upper l
Maple Grove, MN
See all hospitals reporting HCPCS L8485 →Price type
Fairview Maple Grove Surgery Center’s median price of $17 is 11% above the median hospital's median price ($15), higher than 67% of the 839 hospitals reporting HCPCS L8485. 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 | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $14 | $14 | — | — | — | $14 – $14 |
| 6 | Medica accessability fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 7 | Medica medicaid fee schedule · both | $15 | $15 | — | — | — | $15 – $15 |
| 8 | Medica ma non-snp fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 9 | Medica ma snp fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 10 | Medica prime solution fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 11 | Medica vantage fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 12 | Blue Cross Blue Shield medicaid fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 13 | Ucare mhcp fee schedule · both | $16 | $16 | — | — | — | $16 – $16 |
| 14 | Cigna commercial fee schedule · both | $19 | $19 | $2 | 9% | — | $18 – $21 |
| 15 | Ucare ifp with fairview fee schedule · outpatient | $26 | $26 | — | — | — | $26 – $26 |
| 16 | Medica bold fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 17 | UnitedHealthcare commercial fee schedule · both | $29 | $29 | — | — | — | $29 – $29 |
| 18 | Medica choice without / elect fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 19 | Medica city of st paul / essential uplan fee schedule · both | $30 | $30 | — | — | — | $30 – $30 |
| 20 | Medica choice with fee schedule · both | $31 | $31 | — | — | — | $31 – $31 |
| 21 | Ucare ifp fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 22 | Cigna commercial fee schedule · outpatient | $41 | $41 | $4 | 9% | — | $37 – $44 |
Last updated: May 18, 2026
See Prosthetic sock, single-ply, upper limb pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.