Bifocal eyeglass lens, moderate-strength prescription 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-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Lens sphere bifocal 4.12-7.0

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 $77 is about the same as the median hospital's median price ($77), higher than 46% of the 735 hospitals reporting HCPCS V2201. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2201 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	$58	$58	—	—	—	$58 – $58
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$59	$59	—	—	—	$59 – $59
4	Blue Cross Blue Shield federal fee schedule · both	$62	$62	—	—	—	$62 – $62
5	Blue Cross Blue Shield commercial fee schedule · both	$64	$64	—	—	—	$64 – $64
6	Medica ma non-snp fee schedule · both	$71	$71	—	—	—	$71 – $71
7	Medica ma snp fee schedule · both	$71	$71	—	—	—	$71 – $71
8	Medica prime solution fee schedule · both	$71	$71	—	—	—	$71 – $71
9	Medica vantage fee schedule · both	$71	$71	—	—	—	$71 – $71
10	Cigna commercial fee schedule · both	$88	$88	$8	9%	—	$81 – $96
11	Ucare ifp with fairview fee schedule · outpatient	$118	$118	—	—	—	$118 – $118
12	Medica bold fee schedule · both	$124	$124	—	—	—	$124 – $124
13	Medica choice without / elect fee schedule · both	$138	$138	—	—	—	$138 – $138
14	Medica city of st paul / essential uplan fee schedule · both	$138	$138	—	—	—	$138 – $138
15	Medica choice with fee schedule · both	$143	$143	—	—	—	$143 – $143
16	UnitedHealthcare commercial fee schedule · both	$144	$144	—	—	—	$144 – $144
17	Ucare ifp fee schedule · outpatient	$158	$158	—	—	—	$158 – $158
18	Cigna commercial fee schedule · outpatient	$185	$185	$16	9%	—	$169 – $201

Last updated: May 18, 2026

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See Bifocal eyeglass lens, moderate-strength prescription pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.