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
Spherocylindr 7.25d/4.25-6d
Edina, MN
See all hospitals reporting HCPCS V2113 →Price type
Fairview Health Services’s median price of $115 is 20% above the median hospital's median price ($96), higher than 85% of the 730 hospitals reporting HCPCS V2113. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 29 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn pmap fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Bcbs Mn aware federal fee schedule · both | $82 | $82 | — | — | — | $82 – $82 |
| 3 | Bcbs Mn aware/blue plus fee schedule · both | $84 | $84 | — | — | — | $84 – $84 |
| 4 | Sanford Health Plan medicare advantage fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 5 | UnitedHealthcare medicare advantage fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 6 | WellCare medicare advantage fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 7 | Ucare medicare advantage/msho fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 8 | Bcbs Mn medicare advantage fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 9 | Medica medicare advantage non-snp fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 10 | Medica medicare advantage non-snp fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
| 11 | Bcbs Mn aware federal fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 12 | Medica msho/medicare advantage snp fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 13 | Bcbs Mn aware/blue plus fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 14 | Medica managed medicaid/accessability fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 15 | Medica msho/medicare advantage snp fee schedule · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 16 | Ucare individual and family with m health fairview fee schedule · outpatient | $155 | $155 | — | — | — | $155 – $155 |
| 17 | UnitedHealthcare commercial fee schedule · both | $157 | $157 | — | — | — | $157 – $157 |
| 18 | UnitedHealthcare core fee schedule · both | $157 | $157 | — | — | — | $157 – $157 |
| 19 | Medica bold fee schedule · both | $163 | $163 | — | — | — | $163 – $163 |
| 20 | Medica vantage self insured fee schedule · both | $177 | $177 | — | — | — | $177 – $177 |
| 21 | Medica city of st. paul/essential-uplan fee schedule · both | $182 | $182 | — | — | — | $182 – $182 |
| 22 | Medica individual and family business except aco fee schedule · both | $182 | $182 | — | — | — | $182 – $182 |
| 23 | Medica choice fee schedule · both | $188 | $188 | — | — | — | $188 – $188 |
| 24 | Medica bold fee schedule · outpatient | $197 | $197 | — | — | — | $197 – $197 |
| 25 | Ucare individual and family fee schedule · outpatient | $201 | $201 | — | — | — | $201 – $201 |
Last updated: Feb 6, 2026
See Single-vision eyeglass lens with high power pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.