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CPT V2301

Lens sphere trifocal 4.12-7.

Reported by 28 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$85

Average

$128

Median

$138

High

$224

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$67$95$142$338$86
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$92$94$140$267$70
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$78$98$139$267$70
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$78$98$136$267$67
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$90$94$104$224$29
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$90$99$140$267$68
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$92$155$161$254$54
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$91$141$145$240$59
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$78$94$107$224$37
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$92$131$116$136$21
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