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 sphcy bifocal 4.00d/2.1
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$92
Median
$81
High
$535
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 728 hospitals; the 90th percentile is 1.9× 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 | $95 | $96 | $24 | 25% | — | $72 – $141 |
| 2 | Beth Israel Deaconess Hospital - Needham Needham, MA | $97 | $97 | — | — | — | $97 – $97 |
| 3 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $88 | $88 | $5 | 5% | — | $75 – $94 |
| 4 | Fairview Health Services Edina, MN | $86 | $129 | $111 | 86% | — | $23 – $573 |
| 5 | Hca Florida West Hospital PENSACOLA, FL | $72 | $84 | $29 | 35% | — | $67 – $165 |
| 6 | Mayo Regional Hospital Dover Foxcroft, ME | $63 | $54 | $26 | 48% | — | $8 – $86 |
| 7 | Hoopeston Community Memorial Hospital Hoopeston, IL | $55 | $60 | $6 | 10% | — | $55 – $68 |
| 8 | Deaconess Hospital, Inc Newburgh, IN | $65 | $65 | — | — | — | $65 – $65 |
| 9 | Newark-Wayne Community Hospital Newark, NY | $181 | $181 | — | — | — | $181 – $181 |
| 10 | Kadlec Regional Medical Center Richland, WA | $88 | $110 | $40 | 36% | — | $77 – $216 |
Ask Claude or any MCP client for HCPCS V2204 pricing at a specific hospital — see how to connect.