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
Pc-Lens Sphcyl Trifocal 4.00/>6_Rvw 0.0_
Prices here combine facility and professional fees. See them separately →Experimental
Low
$39
Average
$74
Median
$54
High
$143
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 5 hospitals; the 90th percentile is 3.2× 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 | University Of Michigan Health Ann Arbor, MI | $55 | $54 | $10 | 19% | — | $34 – $80 |
| 2 | La Porte Hospital Company LLC La Porte, IN | $153 | $143 | $33 | 23% | — | $52 – $173 |
| 3 | Covenant Medical Center Inc Saginaw, MI | $34 | $39 | $10 | 25% | — | $27 – $55 |
| 4 | Covenant Medical Center Inc Saginaw, MI | $34 | $39 | $10 | 25% | — | $27 – $55 |
| 5 | Memorial Hospital of Laramie County Cheyenne, WY | $94 | $96 | $3 | 3% | — | $94 – $102 |
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