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.
Original text from hospital filings
Replace lensshield cartridge
Low
$0
Average
$23
Median
$19
High
$192
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Prices here combine facility and professional fees. See them separately →Experimental
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 660 hospitals; the 90th percentile is 2.2× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $30 | $30 | $1 | 4% | — | $29 – $31 |
| 2 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $18 | $18 | $1 | 5% | — | $15 – $19 |
| 3 | Fairview Health Services Edina, MN | $24 | $35 | $31 | 86% | — | $8 – $153 |
| 4 | Hca Florida West Hospital PENSACOLA, FL | $19 | $22 | $8 | 35% | — | $18 – $44 |
| 5 | Mayo Regional Hospital Dover Foxcroft, ME | $7 | $8 | $5 | 65% | — | $1 – $18 |
| 6 | Hoopeston Community Memorial Hospital Hoopeston, IL | $9 | $12 | $5 | 38% | — | $9 – $18 |
| 7 | Deaconess Hospital, Inc Newburgh, IN | $17 | $17 | — | — | — | $17 – $17 |
| 8 | Newark-Wayne Community Hospital Newark, NY | $38 | $38 | — | — | — | $38 – $38 |
| 9 | Methodist Hospital Hill Country Fredericksburg, TX | $19 | $20 | $4 | 22% | — | $13 – $29 |
| 10 | Hca Healthone Northeast Er THORNTON, CO | $18 | $18 | $0 | 1% | — | $18 – $19 |
Ask Claude or any MCP client for HCPCS A4257 pricing at a specific hospital — see how to connect.