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
Lens single vision not oth c
Low
$0
Average
$31
Median
$19
High
$104
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
11 payers; the 90th percentile is 9.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield facility · fee schedule · outpatient · +4 other terms | 23 | $97 | $104 | $148 | 142% | — | $36 – $678 |
| 2 | Anthem facility · case rate · outpatient · +3 other terms | 15 | $15 | $17 | $4 | 23% | — | $10 – $26 |
| 3 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $16 | $17 | $4 | 23% | — | $10 – $27 |
| 4 | Molina facility · case rate · outpatient · +2 other terms | 15 | $15 | $17 | $4 | 23% | — | $11 – $26 |
| 5 | UnitedHealthcare facility · case rate · outpatient · +2 other terms | 15 | $16 | $17 | $4 | 23% | — | $11 – $27 |
| 6 | Bcbs Mn fee schedule · outpatient · +3 other terms | 12 | $127 | $95 | $55 | 58% | — | $36 – $159 |
| 7 | Optum facility · case rate · outpatient | 11 | $14 | $16 | $4 | 22% | — | $13 – $24 |
| 8 | Humana fee schedule · outpatient · +1 other terms | 7 | $4 | $3 | $1 | 33% | — | $1 – $4 |
| 9 | Amerihealth Caritas professional · fee schedule · outpatient | 2 | $11 | $11 | $0 | 0% | — | $11 – $11 |
| 10 | Bcbs La facility · fee schedule · outpatient | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Cigna fee schedule · both · +1 other terms | 1 | $39 | $39 | — | — | — | $39 – $39 |
← Hospitals reporting HCPCS V2199 · Snapshot 20261112T181611Z-3fa9fb76