Bifocal eyeglass lens, low-power prescription, 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

Lens sphcyl bifocal 4.00d/.1

Maple Grove, MN

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $74 is 5% above the median hospital's median price ($70), higher than 60% of the 733 hospitals reporting HCPCS V2203. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2203 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	$55	$55	—	—	—	$55 – $55
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$56	$56	—	—	—	$56 – $56
4	Blue Cross Blue Shield federal fee schedule · both	$60	$60	—	—	—	$60 – $60
5	Blue Cross Blue Shield commercial fee schedule · both	$61	$61	—	—	—	$61 – $61
6	Medica ma non-snp fee schedule · both	$69	$69	—	—	—	$69 – $69
7	Medica ma snp fee schedule · both	$69	$69	—	—	—	$69 – $69
8	Medica prime solution fee schedule · both	$69	$69	—	—	—	$69 – $69
9	Medica vantage fee schedule · both	$69	$69	—	—	—	$69 – $69
10	Cigna commercial fee schedule · both	$85	$85	$7	9%	—	$77 – $92
11	Ucare ifp with fairview fee schedule · outpatient	$114	$114	—	—	—	$114 – $114
12	Medica bold fee schedule · both	$119	$119	—	—	—	$119 – $119
13	Medica choice without / elect fee schedule · both	$132	$132	—	—	—	$132 – $132
14	Medica city of st paul / essential uplan fee schedule · both	$132	$132	—	—	—	$132 – $132
15	UnitedHealthcare commercial fee schedule · both	$133	$133	—	—	—	$133 – $133
16	Medica choice with fee schedule · both	$137	$137	—	—	—	$137 – $137
17	Ucare ifp fee schedule · outpatient	$152	$152	—	—	—	$152 – $152
18	Cigna commercial fee schedule · outpatient	$178	$178	$15	9%	—	$162 – $193

Last updated: May 18, 2026

Compare to other hospitals

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