Single-vision eyeglass lens with high power 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

Spherocylindr 7.25d/4.25-6d

Maple Grove, MN

See all hospitals reporting HCPCS V2113 →

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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 $102 is 6% above the median hospital's median price ($96), higher than 72% of the 730 hospitals reporting HCPCS V2113. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2113 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	$76	$76	—	—	—	$76 – $76
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$77	$77	—	—	—	$77 – $77
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$77	$77	—	—	—	$77 – $77
4	Blue Cross Blue Shield federal fee schedule · both	$82	$82	—	—	—	$82 – $82
5	Blue Cross Blue Shield commercial fee schedule · both	$84	$84	—	—	—	$84 – $84
6	Medica ma non-snp fee schedule · both	$94	$94	—	—	—	$94 – $94
7	Medica ma snp fee schedule · both	$94	$94	—	—	—	$94 – $94
8	Medica prime solution fee schedule · both	$94	$94	—	—	—	$94 – $94
9	Medica vantage fee schedule · both	$94	$94	—	—	—	$94 – $94
10	Cigna commercial fee schedule · both	$116	$116	$10	9%	—	$106 – $126
11	Ucare ifp with fairview fee schedule · outpatient	$156	$156	—	—	—	$156 – $156
12	UnitedHealthcare commercial fee schedule · both	$161	$161	—	—	—	$161 – $161
13	Medica bold fee schedule · both	$163	$163	—	—	—	$163 – $163
14	Medica choice without / elect fee schedule · both	$182	$182	—	—	—	$182 – $182
15	Medica city of st paul / essential uplan fee schedule · both	$182	$182	—	—	—	$182 – $182
16	Medica choice with fee schedule · both	$188	$188	—	—	—	$188 – $188
17	Ucare ifp fee schedule · outpatient	$208	$208	—	—	—	$208 – $208
18	Cigna commercial fee schedule · outpatient	$244	$244	$21	9%	—	$223 – $266

Last updated: May 18, 2026

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