Trifocal eyeglass lens, 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 trifocal 4.0/.12-

Maple Grove, MN

See all hospitals reporting HCPCS V2303 →

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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 $95 is 5% above the median hospital's median price ($90), higher than 67% of the 733 hospitals reporting HCPCS V2303. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2303 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	$71	$71	—	—	—	$71 – $71
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$72	$72	—	—	—	$72 – $72
4	Blue Cross Blue Shield federal fee schedule · both	$77	$77	—	—	—	$77 – $77
5	Blue Cross Blue Shield commercial fee schedule · both	$78	$78	—	—	—	$78 – $78
6	Medica ma non-snp fee schedule · both	$88	$88	—	—	—	$88 – $88
7	Medica ma snp fee schedule · both	$88	$88	—	—	—	$88 – $88
8	Medica prime solution fee schedule · both	$88	$88	—	—	—	$88 – $88
9	Medica vantage fee schedule · both	$88	$88	—	—	—	$88 – $88
10	Cigna commercial fee schedule · both	$108	$108	$9	9%	—	$99 – $118
11	Ucare ifp with fairview fee schedule · outpatient	$145	$145	—	—	—	$145 – $145
12	Medica bold fee schedule · both	$152	$152	—	—	—	$152 – $152
13	UnitedHealthcare commercial fee schedule · both	$165	$165	—	—	—	$165 – $165
14	Medica choice without / elect fee schedule · both	$169	$169	—	—	—	$169 – $169
15	Medica city of st paul / essential uplan fee schedule · both	$169	$169	—	—	—	$169 – $169
16	Medica choice with fee schedule · both	$175	$175	—	—	—	$175 – $175
17	Ucare ifp fee schedule · outpatient	$194	$194	—	—	—	$194 – $194
18	Cigna commercial fee schedule · outpatient	$228	$228	$20	9%	—	$208 – $248

Last updated: May 18, 2026

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