Trifocal spectacle lens, sphere power ±4.12 to ±7.00 diopters, 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 sphere trifocal 4.12-7.

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 $123 is 15% above the median hospital's median price ($107), higher than 66% of the 731 hospitals reporting HCPCS V2301. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2301 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	$90	$90	—	—	—	$90 – $90
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
4	Blue Cross Blue Shield federal fee schedule · both	$98	$98	—	—	—	$98 – $98
5	Blue Cross Blue Shield commercial fee schedule · both	$100	$100	—	—	—	$100 – $100
6	Medica ma non-snp fee schedule · both	$112	$112	—	—	—	$112 – $112
7	Medica ma snp fee schedule · both	$112	$112	—	—	—	$112 – $112
8	Medica prime solution fee schedule · both	$112	$112	—	—	—	$112 – $112
9	Medica vantage fee schedule · both	$112	$112	—	—	—	$112 – $112
10	Cigna commercial fee schedule · both	$138	$138	$12	9%	—	$126 – $150
11	Ucare ifp with fairview fee schedule · outpatient	$185	$185	—	—	—	$185 – $185
12	Medica bold fee schedule · both	$194	$194	—	—	—	$194 – $194
13	UnitedHealthcare commercial fee schedule · both	$198	$198	—	—	—	$198 – $198
14	Medica choice without / elect fee schedule · both	$216	$216	—	—	—	$216 – $216
15	Medica city of st paul / essential uplan fee schedule · both	$216	$216	—	—	—	$216 – $216
16	Medica choice with fee schedule · both	$223	$223	—	—	—	$223 – $223
17	Ucare ifp fee schedule · outpatient	$247	$247	—	—	—	$247 – $247
18	Cigna commercial fee schedule · outpatient	$289	$289	$25	9%	—	$264 – $315

Last updated: May 18, 2026

Compare to other hospitals

See Trifocal spectacle lens, sphere power ±4.12 to ±7.00 diopters, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.