Bifocal eyeglass lens, high 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 bifo 7.25-12/4.2

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 $114 is 7% above the median hospital's median price ($107), higher than 64% of the 727 hospitals reporting HCPCS V2213. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2213 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	$84	$84	—	—	—	$84 – $84
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$85	$85	—	—	—	$85 – $85
4	Blue Cross Blue Shield federal fee schedule · both	$91	$91	—	—	—	$91 – $91
5	Blue Cross Blue Shield commercial fee schedule · both	$92	$92	—	—	—	$92 – $92
6	Medica ma non-snp fee schedule · both	$103	$103	—	—	—	$103 – $103
7	Medica ma snp fee schedule · both	$103	$103	—	—	—	$103 – $103
8	Medica prime solution fee schedule · both	$103	$103	—	—	—	$103 – $103
9	Medica vantage fee schedule · both	$103	$103	—	—	—	$103 – $103
10	Cigna commercial fee schedule · both	$128	$128	$11	9%	—	$117 – $139
11	Ucare ifp with fairview fee schedule · outpatient	$172	$172	—	—	—	$172 – $172
12	Medica bold fee schedule · both	$180	$180	—	—	—	$180 – $180
13	UnitedHealthcare commercial fee schedule · both	$198	$198	—	—	—	$198 – $198
14	Medica choice without / elect fee schedule · both	$200	$200	—	—	—	$200 – $200
15	Medica city of st paul / essential uplan fee schedule · both	$200	$200	—	—	—	$200 – $200
16	Medica choice with fee schedule · both	$207	$207	—	—	—	$207 – $207
17	Ucare ifp fee schedule · outpatient	$229	$229	—	—	—	$229 – $229
18	Cigna commercial fee schedule · outpatient	$268	$268	$23	9%	—	$245 – $292

Last updated: May 18, 2026

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