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HCPCS V2205

Lens sphcy bifocal 4.00d/4.2

Reported by 367 hospitals in the network under the fee schedule methodology.

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.

Reflects negotiated fee schedule rates with commercial payers.

National pricing summary

Low

$1

Average

$105

Median

$86

High

$387

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$75$83$30—$35$313
2Northwest Iowa Hospital CorporationSioux City, IA$78$85$31—$35$141
3St Luke'sJones Regional Medical CenterAnamosa, IA$68$76$34—$35$141
4Medical Ctiy ArgyleArgyle, TX$82$94$46—$73$427
5Medical City AllianceSAGINAW, TX$82$90$47—$73$427
6St Luke's Methodist HospitalCedar Rapids, IA$78$89$35—$35$141
7Trinity Medical CenterRock Island, IL$100$98$36—$35$313
8Trinity Medical CenterBettendorf, IA$78$87$33—$35$141
9Unity HealthcareMuscatine, IA$85$91$34—$35$313
10Trinity Regional Medical CenterFort Dodge, IA$78$90$36—$35$141
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