Trifocal spherocylinder 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 4.0/2.25

Maple Grove, MN

See all hospitals reporting HCPCS V2304 →

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $98 is 6% above the median hospital's median price ($92), higher than 64% of the 730 hospitals reporting HCPCS V2304. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2304 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	$73	$73	—	—	—	$73 – $73
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
4	Blue Cross Blue Shield federal fee schedule · both	$78	$78	—	—	—	$78 – $78
5	Blue Cross Blue Shield commercial fee schedule · both	$79	$79	—	—	—	$79 – $79
6	Medica ma non-snp fee schedule · both	$89	$89	—	—	—	$89 – $89
7	Medica ma snp fee schedule · both	$89	$89	—	—	—	$89 – $89
8	Medica prime solution fee schedule · both	$89	$89	—	—	—	$89 – $89
9	Medica vantage fee schedule · both	$89	$89	—	—	—	$89 – $89
10	Cigna commercial fee schedule · both	$109	$109	$10	9%	—	$100 – $119
11	Ucare ifp with fairview fee schedule · outpatient	$147	$147	—	—	—	$147 – $147
12	Medica bold fee schedule · both	$154	$154	—	—	—	$154 – $154
13	Medica choice without / elect fee schedule · both	$171	$171	—	—	—	$171 – $171
14	Medica city of st paul / essential uplan fee schedule · both	$171	$171	—	—	—	$171 – $171
15	UnitedHealthcare commercial fee schedule · both	$173	$173	—	—	—	$173 – $173
16	Medica choice with fee schedule · both	$177	$177	—	—	—	$177 – $177
17	Ucare ifp fee schedule · outpatient	$196	$196	—	—	—	$196 – $196
18	Cigna commercial fee schedule · outpatient	$230	$230	$20	9%	—	$210 – $250

Last updated: May 18, 2026

Compare to other hospitals

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