Single-vision spherocylinder eyeglass 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

Spherocylinder 4.00d/4.25-6d

Maple Grove, MN

See all hospitals reporting HCPCS V2105 →

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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 $66 is 15% above the median hospital's median price ($58), higher than 73% of the 731 hospitals reporting HCPCS V2105. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2105 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	$49	$49	—	—	—	$49 – $49
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
4	Blue Cross Blue Shield federal fee schedule · both	$53	$53	—	—	—	$53 – $53
5	Blue Cross Blue Shield commercial fee schedule · both	$54	$54	—	—	—	$54 – $54
6	Medica ma non-snp fee schedule · both	$61	$61	—	—	—	$61 – $61
7	Medica ma snp fee schedule · both	$61	$61	—	—	—	$61 – $61
8	Medica prime solution fee schedule · both	$61	$61	—	—	—	$61 – $61
9	Medica vantage fee schedule · both	$61	$61	—	—	—	$61 – $61
10	Cigna commercial fee schedule · both	$76	$76	$7	9%	—	$69 – $82
11	Ucare ifp with fairview fee schedule · outpatient	$101	$101	—	—	—	$101 – $101
12	UnitedHealthcare commercial fee schedule · both	$105	$105	—	—	—	$105 – $105
13	Medica bold fee schedule · both	$106	$106	—	—	—	$106 – $106
14	Medica choice without / elect fee schedule · both	$118	$118	—	—	—	$118 – $118
15	Medica city of st paul / essential uplan fee schedule · both	$118	$118	—	—	—	$118 – $118
16	Medica choice with fee schedule · both	$122	$122	—	—	—	$122 – $122
17	Ucare ifp fee schedule · outpatient	$135	$135	—	—	—	$135 – $135
18	Cigna commercial fee schedule · outpatient	$159	$159	$14	9%	—	$145 – $172

Last updated: May 18, 2026

Compare to other hospitals

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