Single-vision eyeglass lens, per lens 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

Single visn sphere 4.12-7.00

Maple Grove, MN

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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 $62 is 5% below the median hospital's median price ($65), higher than 45% of the 734 hospitals reporting HCPCS V2101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2101 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 18 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	$46	$46	—	—	—	$46 – $46
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$47	$47	—	—	—	$47 – $47
4	Blue Cross Blue Shield federal fee schedule · both	$50	$50	—	—	—	$50 – $50
5	Blue Cross Blue Shield commercial fee schedule · both	$51	$51	—	—	—	$51 – $51
6	Medica ma non-snp fee schedule · both	$57	$57	—	—	—	$57 – $57
7	Medica ma snp fee schedule · both	$57	$57	—	—	—	$57 – $57
8	Medica prime solution fee schedule · both	$57	$57	—	—	—	$57 – $57
9	Medica vantage fee schedule · both	$57	$57	—	—	—	$57 – $57
10	Cigna commercial fee schedule · both	$70	$70	$6	9%	—	$64 – $76
11	Ucare ifp with fairview fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
12	Medica bold fee schedule · both	$99	$99	—	—	—	$99 – $99
13	UnitedHealthcare commercial fee schedule · both	$106	$106	—	—	—	$106 – $106
14	Medica choice without / elect fee schedule · both	$110	$110	—	—	—	$110 – $110
15	Medica city of st paul / essential uplan fee schedule · both	$110	$110	—	—	—	$110 – $110
16	Medica choice with fee schedule · both	$114	$114	—	—	—	$114 – $114
17	Ucare ifp fee schedule · outpatient	$126	$126	—	—	—	$126 – $126
18	Cigna commercial fee schedule · outpatient	$148	$148	$13	9%	—	$135 – $160

Last updated: May 18, 2026

Compare to other hospitals

See Single-vision eyeglass lens, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.