Toric or prism ballast contact 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

Cntct lens pmma-toric/prism

Maple Grove, MN

See all hospitals reporting HCPCS V2501 →

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Pricing by billing methodology

Price type

How this price compares nationally

Fairview Maple Grove Surgery Center’s median price of $175 is 4% above the median hospital's median price ($168), higher than 52% of the 737 hospitals reporting HCPCS V2501. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2501 at Fairview Maple Grove Surgery Center

Negotiated rates from the hospital’s own file: 5 payers, 22 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	Medica accessability fee schedule · both	$51	$51	—	—	—	$51 – $51
2	Medica medicaid fee schedule · both	$51	$51	—	—	—	$51 – $51
3	Ucare mhcp fee schedule · both	$53	$53	—	—	—	$53 – $53
4	Blue Cross Blue Shield medicaid fee schedule · both	$55	$55	—	—	—	$55 – $55
5	Blue Cross Blue Shield federal fee schedule · outpatient	$134	$134	—	—	—	$134 – $134
6	Blue Cross Blue Shield commercial fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
7	Blue Cross Blue Shield medicaid fee schedule · outpatient	$137	$137	—	—	—	$137 – $137
8	Blue Cross Blue Shield federal fee schedule · both	$145	$145	—	—	—	$145 – $145
9	Blue Cross Blue Shield commercial fee schedule · both	$148	$148	—	—	—	$148 – $148
10	Medica ma non-snp fee schedule · both	$166	$166	—	—	—	$166 – $166
11	Medica ma snp fee schedule · both	$166	$166	—	—	—	$166 – $166
12	Medica prime solution fee schedule · both	$166	$166	—	—	—	$166 – $166
13	Medica vantage fee schedule · both	$166	$166	—	—	—	$166 – $166
14	Cigna commercial fee schedule · both	$205	$205	$18	9%	—	$187 – $223
15	Ucare ifp with fairview fee schedule · outpatient	$276	$276	—	—	—	$276 – $276
16	Medica bold fee schedule · both	$289	$289	—	—	—	$289 – $289
17	UnitedHealthcare commercial fee schedule · both	$318	$318	—	—	—	$318 – $318
18	Medica choice without / elect fee schedule · both	$321	$321	—	—	—	$321 – $321
19	Medica city of st paul / essential uplan fee schedule · both	$321	$321	—	—	—	$321 – $321
20	Medica choice with fee schedule · both	$332	$332	—	—	—	$332 – $332
21	Ucare ifp fee schedule · outpatient	$367	$367	—	—	—	$367 – $367
22	Cigna commercial fee schedule · outpatient	$431	$431	$37	9%	—	$393 – $468

Last updated: May 18, 2026

Compare to other hospitals

See Toric or prism ballast contact lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.