Bifocal eyeglass lens, plano to ±4.00 sphere, 4.25 to 6.00 cylinder 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 sphcy bifocal 4.00d/4.2

Maple Grove, MN

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $84 is 6% above the median hospital's median price ($79), higher than 65% of the 731 hospitals reporting HCPCS V2205. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2205 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	$63	$63	—	—	—	$63 – $63
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$64	$64	—	—	—	$64 – $64
4	Blue Cross Blue Shield federal fee schedule · both	$68	$68	—	—	—	$68 – $68
5	Blue Cross Blue Shield commercial fee schedule · both	$70	$70	—	—	—	$70 – $70
6	Medica ma non-snp fee schedule · both	$78	$78	—	—	—	$78 – $78
7	Medica ma snp fee schedule · both	$78	$78	—	—	—	$78 – $78
8	Medica prime solution fee schedule · both	$78	$78	—	—	—	$78 – $78
9	Medica vantage fee schedule · both	$78	$78	—	—	—	$78 – $78
10	Cigna commercial fee schedule · both	$97	$97	$8	9%	—	$88 – $105
11	Ucare ifp with fairview fee schedule · outpatient	$130	$130	—	—	—	$130 – $130
12	Medica bold fee schedule · both	$136	$136	—	—	—	$136 – $136
13	UnitedHealthcare commercial fee schedule · both	$150	$150	—	—	—	$150 – $150
14	Medica choice without / elect fee schedule · both	$151	$151	—	—	—	$151 – $151
15	Medica city of st paul / essential uplan fee schedule · both	$151	$151	—	—	—	$151 – $151
16	Medica choice with fee schedule · both	$156	$156	—	—	—	$156 – $156
17	Ucare ifp fee schedule · outpatient	$173	$173	—	—	—	$173 – $173
18	Cigna commercial fee schedule · outpatient	$203	$203	$18	9%	—	$185 – $220

Last updated: May 18, 2026

Compare to other hospitals

See Bifocal eyeglass lens, plano to ±4.00 sphere, 4.25 to 6.00 cylinder pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.