Trifocal 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 sphcy trifocal 4.25-7/.

Maple Grove, MN

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How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $105 is 1% above the median hospital's median price ($104), higher than 54% of the 730 hospitals reporting HCPCS V2307. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2307 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	$78	$78	—	—	—	$78 – $78
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$80	$80	—	—	—	$80 – $80
4	Blue Cross Blue Shield federal fee schedule · both	$85	$85	—	—	—	$85 – $85
5	Blue Cross Blue Shield commercial fee schedule · both	$87	$87	—	—	—	$87 – $87
6	Medica ma non-snp fee schedule · both	$97	$97	—	—	—	$97 – $97
7	Medica ma snp fee schedule · both	$97	$97	—	—	—	$97 – $97
8	Medica prime solution fee schedule · both	$97	$97	—	—	—	$97 – $97
9	Medica vantage fee schedule · both	$97	$97	—	—	—	$97 – $97
10	Cigna commercial fee schedule · both	$120	$120	$10	9%	—	$109 – $130
11	Ucare ifp with fairview fee schedule · outpatient	$161	$161	—	—	—	$161 – $161
12	Medica bold fee schedule · both	$169	$169	—	—	—	$169 – $169
13	Medica choice without / elect fee schedule · both	$187	$187	—	—	—	$187 – $187
14	Medica city of st paul / essential uplan fee schedule · both	$187	$187	—	—	—	$187 – $187
15	Medica choice with fee schedule · both	$194	$194	—	—	—	$194 – $194
16	UnitedHealthcare commercial fee schedule · both	$195	$195	—	—	—	$195 – $195
17	Ucare ifp fee schedule · outpatient	$215	$215	—	—	—	$215 – $215
18	Cigna commercial fee schedule · outpatient	$252	$252	$22	9%	—	$230 – $274

Last updated: May 18, 2026

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See Trifocal 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.