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 trifocal 4.0/2.25
Prices here combine facility and professional fees. See them separately →Experimental
Low
$1
Average
$115
Median
$102
High
$670
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 726 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 | $116 | $117 | $29 | 25% | — | $88 – $171 |
| 2 | Beth Israel Deaconess Hospital - Needham Needham, MA | $125 | $125 | — | — | — | $125 – $125 |
| 3 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $104 | $104 | $6 | 5% | — | $88 – $111 |
| 4 | Fairview Health Services Edina, MN | $114 | $164 | $138 | 84% | — | $38 – $717 |
| 5 | Hca Florida West Hospital PENSACOLA, FL | $94 | $109 | $38 | 35% | — | $87 – $215 |
| 6 | Mayo Regional Hospital Dover Foxcroft, ME | $79 | $68 | $33 | 48% | — | $11 – $111 |
| 7 | Hoopeston Community Memorial Hospital Hoopeston, IL | $70 | $75 | $7 | 10% | — | $70 – $85 |
| 8 | Deaconess Hospital, Inc Newburgh, IN | $82 | $82 | — | — | — | $82 – $82 |
| 9 | Newark-Wayne Community Hospital Newark, NY | $221 | $221 | — | — | — | $221 – $221 |
| 10 | Kadlec Regional Medical Center Richland, WA | $98 | $121 | $44 | 36% | — | $85 – $238 |
Ask Claude or any MCP client for HCPCS V2304 pricing at a specific hospital — see how to connect.