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
Singl visn sphere 7.12-20.00
Maple Grove, MN
See all hospitals reporting HCPCS V2102 →Price type
Fairview Maple Grove Surgery Center’s median price of $106 is 35% above the median hospital's median price ($79), higher than 84% of the 733 hospitals reporting HCPCS V2102. 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, 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 | $79 | $79 | — | — | — | $79 – $79 |
| 2 | Blue Cross Blue Shield commercial fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 3 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 4 | Blue Cross Blue Shield federal fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 5 | Blue Cross Blue Shield commercial fee schedule · both | $88 | $88 | — | — | — | $88 – $88 |
| 6 | Medica ma non-snp fee schedule · both | $98 | $98 | — | — | — | $98 – $98 |
| 7 | Medica ma snp fee schedule · both | $98 | $98 | — | — | — | $98 – $98 |
| 8 | Medica prime solution fee schedule · both | $98 | $98 | — | — | — | $98 – $98 |
| 9 | Medica vantage fee schedule · both | $98 | $98 | — | — | — | $98 – $98 |
| 10 | Cigna commercial fee schedule · both | $121 | $121 | $11 | 9% | — | $111 – $132 |
| 11 | UnitedHealthcare commercial fee schedule · both | $149 | $149 | — | — | — | $149 – $149 |
| 12 | Ucare ifp with fairview fee schedule · outpatient | $163 | $163 | — | — | — | $163 – $163 |
| 13 | Medica bold fee schedule · both | $171 | $171 | — | — | — | $171 – $171 |
| 14 | Medica choice without / elect fee schedule · both | $190 | $190 | — | — | — | $190 – $190 |
| 15 | Medica city of st paul / essential uplan fee schedule · both | $190 | $190 | — | — | — | $190 – $190 |
| 16 | Medica choice with fee schedule · both | $196 | $196 | — | — | — | $196 – $196 |
| 17 | Ucare ifp fee schedule · outpatient | $217 | $217 | — | — | — | $217 – $217 |
| 18 | Cigna commercial fee schedule · outpatient | $254 | $254 | $22 | 9% | — | $232 – $277 |
Last updated: May 18, 2026
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