Extended eye exam with retinal drawing and scleral depression 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
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

OPSCPY EXTND RTA DRAW UNI/BI

Maple Grove, MN

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $45 is 31% below the median hospital's median price ($65), higher than 16% of the 1,351 hospitals reporting CPT 92201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 92201 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 6 payers, 25 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	Medicaid medicaid fee schedule · both	$16	$16	—	—	—	$16 – $16
2	Ucare mhcp fee schedule · both	$16	$16	—	—	—	$16 – $16
3	Medica accessability fee schedule · both	$17	$17	—	—	—	$17 – $17
4	Medica medicaid fee schedule · both	$17	$17	—	—	—	$17 – $17
5	Blue Cross Blue Shield medicaid fee schedule · both	$18	$18	—	—	—	$18 – $18
6	UnitedHealthcare medicare advantage fee schedule · both	$21	$21	—	—	—	$21 – $21
7	Blue Cross Blue Shield medicare advantage fee schedule · both	$22	$22	—	—	—	$22 – $22
8	Medica ma non-snp fee schedule · both	$23	$23	—	—	—	$23 – $23
9	Medica ma snp fee schedule · both	$23	$23	—	—	—	$23 – $23
10	Medica prime solution fee schedule · both	$23	$23	—	—	—	$23 – $23
11	Medica vantage fee schedule · both	$23	$23	—	—	—	$23 – $23
12	Blue Cross Blue Shield medicaid fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
13	Ucare ifp with fairview fee schedule · both	$56	$56	—	—	—	$56 – $56
14	Ucare ifp fee schedule · both	$59	$59	—	—	—	$59 – $59
15	Cigna commercial fee schedule · outpatient	$66	$66	$6	9%	—	$60 – $72
16	Medica bold fee schedule · both	$67	$67	—	—	—	$67 – $67
17	UnitedHealthcare commercial fee schedule · both	$67	$67	—	—	—	$67 – $67
18	Blue Cross Blue Shield federal fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
19	Medica choice without / elect fee schedule · both	$74	$74	—	—	—	$74 – $74
20	Medica city of st paul / essential uplan fee schedule · both	$74	$74	—	—	—	$74 – $74
21	Blue Cross Blue Shield federal fee schedule · both	$75	$75	—	—	—	$75 – $75
22	Blue Cross Blue Shield commercial fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
23	Blue Cross Blue Shield commercial fee schedule · both	$76	$76	—	—	—	$76 – $76
24	Medica choice with fee schedule · both	$77	$77	—	—	—	$77 – $77
25	Cigna commercial fee schedule · both	$102	$102	$9	9%	—	$93 – $111

Last updated: May 18, 2026

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