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
Lens sphere bifocal 4.12-7.0
Edina, MN
See all hospitals reporting HCPCS V2201 →Price type
Fairview Health Services’s median price of $87 is 13% above the median hospital's median price ($77), higher than 70% of the 735 hospitals reporting HCPCS V2201. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn pmap fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Bcbs Mn aware federal fee schedule · both | $62 | $62 | — | — | — | $62 – $62 |
| 3 | Bcbs Mn aware/blue plus fee schedule · both | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Sanford Health Plan medicare advantage fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 5 | UnitedHealthcare medicare advantage fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 6 | WellCare medicare advantage fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 7 | Ucare medicare advantage/msho fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 8 | Bcbs Mn medicare advantage fee schedule · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 9 | Medica medicare advantage non-snp fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 10 | Medica medicare advantage non-snp fee schedule · both | $71 | $71 | — | — | — | $71 – $71 |
| 11 | Bcbs Mn aware federal fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 12 | Medica msho/medicare advantage snp fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
| 13 | Bcbs Mn aware/blue plus fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 14 | Medica managed medicaid/accessability fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 15 | Medica msho/medicare advantage snp fee schedule · outpatient | $87 | $87 | — | — | — | $87 – $87 |
| 16 | Ucare individual and family with m health fairview fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
| 17 | Medica bold fee schedule · both | $124 | $124 | — | — | — | $124 – $124 |
| 18 | Medica vantage self insured fee schedule · both | $134 | $134 | — | — | — | $134 – $134 |
| 19 | Medica city of st. paul/essential-uplan fee schedule · both | $138 | $138 | — | — | — | $138 – $138 |
| 20 | Medica individual and family business except aco fee schedule · both | $138 | $138 | — | — | — | $138 – $138 |
| 21 | UnitedHealthcare commercial fee schedule · both | $139 | $139 | — | — | — | $139 – $139 |
| 22 | UnitedHealthcare core fee schedule · both | $139 | $139 | — | — | — | $139 – $139 |
| 23 | Medica choice fee schedule · both | $143 | $143 | — | — | — | $143 – $143 |
| 24 | Medica bold fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 25 | Ucare individual and family fee schedule · outpatient | $152 | $152 | — | — | — | $152 – $152 |
Last updated: Feb 6, 2026
See Bifocal eyeglass lens, moderate-strength prescription pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.