Bifocal eyeglass lens, custom power, 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 sphcy bifocal 4.25-7/4.

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 $97 is 10% above the median hospital's median price ($88), higher than 71% of the 730 hospitals reporting HCPCS V2209. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2209 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	$72	$72	—	—	—	$72 – $72
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$74	$74	—	—	—	$74 – $74
4	Blue Cross Blue Shield federal fee schedule · both	$78	$78	—	—	—	$78 – $78
5	Blue Cross Blue Shield commercial fee schedule · both	$80	$80	—	—	—	$80 – $80
6	Medica ma non-snp fee schedule · both	$90	$90	—	—	—	$90 – $90
7	Medica ma snp fee schedule · both	$90	$90	—	—	—	$90 – $90
8	Medica prime solution fee schedule · both	$90	$90	—	—	—	$90 – $90
9	Medica vantage fee schedule · both	$90	$90	—	—	—	$90 – $90
10	Cigna commercial fee schedule · both	$111	$111	$10	9%	—	$101 – $120
11	Ucare ifp with fairview fee schedule · outpatient	$149	$149	—	—	—	$149 – $149
12	Medica bold fee schedule · both	$156	$156	—	—	—	$156 – $156
13	UnitedHealthcare commercial fee schedule · both	$166	$166	—	—	—	$166 – $166
14	Medica choice without / elect fee schedule · both	$173	$173	—	—	—	$173 – $173
15	Medica city of st paul / essential uplan fee schedule · both	$173	$173	—	—	—	$173 – $173
16	Medica choice with fee schedule · both	$179	$179	—	—	—	$179 – $179
17	Ucare ifp fee schedule · outpatient	$198	$198	—	—	—	$198 – $198
18	Cigna commercial fee schedule · outpatient	$232	$232	$20	9%	—	$212 – $253

Last updated: May 18, 2026

Compare to other hospitals

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