Trifocal spectacle lens, high power, 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 sphc trifo 7.25-12/4.25

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 $148 is 9% above the median hospital's median price ($136), higher than 52% of the 727 hospitals reporting HCPCS V2313. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2313 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	$108	$108	—	—	—	$108 – $108
2	Blue Cross Blue Shield commercial fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
3	Blue Cross Blue Shield medicaid fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
4	Blue Cross Blue Shield federal fee schedule · both	$117	$117	—	—	—	$117 – $117
5	Blue Cross Blue Shield commercial fee schedule · both	$119	$119	—	—	—	$119 – $119
6	Medica ma non-snp fee schedule · both	$134	$134	—	—	—	$134 – $134
7	Medica ma snp fee schedule · both	$134	$134	—	—	—	$134 – $134
8	Medica prime solution fee schedule · both	$134	$134	—	—	—	$134 – $134
9	Medica vantage fee schedule · both	$134	$134	—	—	—	$134 – $134
10	Cigna commercial fee schedule · both	$165	$165	$14	9%	—	$151 – $179
11	Ucare ifp with fairview fee schedule · outpatient	$222	$222	—	—	—	$222 – $222
12	Medica bold fee schedule · both	$232	$232	—	—	—	$232 – $232
13	UnitedHealthcare commercial fee schedule · both	$257	$257	—	—	—	$257 – $257
14	Medica choice without / elect fee schedule · both	$258	$258	—	—	—	$258 – $258
15	Medica city of st paul / essential uplan fee schedule · both	$258	$258	—	—	—	$258 – $258
16	Medica choice with fee schedule · both	$267	$267	—	—	—	$267 – $267
17	Ucare ifp fee schedule · outpatient	$296	$296	—	—	—	$296 – $296
18	Cigna commercial fee schedule · outpatient	$347	$347	$30	9%	—	$317 – $377

Last updated: May 18, 2026

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