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HCPCS V2204

Lens sphcy bifocal 4.00d/2.1

Reported by 410 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

$1

Average

$92

Median

$81

High

$395

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Finley HospitalDubuque, IA$69$91$61—$33$282
2Northwest Iowa Hospital CorporationSioux City, IA$69$76$25—$33$131
3St Luke'sJones Regional Medical CenterAnamosa, IA$63$71$31—$33$131
4Medical Ctiy ArgyleArgyle, TX$79$90$44—$70$409
5Medical City AllianceSAGINAW, TX$79$87$45—$70$409
6St Luke's Methodist HospitalCedar Rapids, IA$69$78$28—$33$131
7Trinity Medical CenterRock Island, IL$73$102$65—$33$282
8Trinity Medical CenterBettendorf, IA$69$79$27—$33$131
9Unity HealthcareMuscatine, IA$90$103$58—$33$282
10Trinity Regional Medical CenterFort Dodge, IA$88$85$30—$33$131
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