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
HB=CONTACT LENS MISIGHT 90 PACK
Low
$0
Average
$129
Median
$76
High
$394
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
14 payers; the 90th percentile is 5.1× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield fee schedule · outpatient · +2 other terms | 68 | $296 | $373 | $184 | 49% | — | $0 – $1.1k |
| 2 | Bcbs Tx fee schedule · outpatient | 30 | $260 | $268 | $84 | 31% | — | $198 – $979 |
| 3 | Anthem facility · case rate · outpatient · +5 other terms | 15 | $53 | $58 | $14 | 23% | — | $36 – $90 |
| 4 | Caresource facility · case rate · outpatient · +1 other terms | 15 | $54 | $58 | $13 | 23% | — | $36 – $92 |
| 5 | Molina facility · case rate · outpatient · +3 other terms | 15 | $53 | $58 | $13 | 23% | — | $37 – $90 |
| 6 | UnitedHealthcare facility · case rate · outpatient · +4 other terms | 15 | $54 | $59 | $14 | 23% | — | $37 – $92 |
| 7 | Optum facility · case rate · outpatient · +1 other terms | 11 | $50 | $55 | $12 | 22% | — | $45 – $81 |
| 8 | Aetna facility · fee schedule · outpatient · +4 other terms | 4 | $447 | $408 | $96 | 23% | — | $174 – $451 |
| 9 | Humana facility · other · outpatient · +2 other terms | 2 | $78 | $78 | $12 | 15% | — | $67 – $90 |
| 10 | Bcbs La fee schedule · outpatient · +1 other terms | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 11 | Cigna percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 12 | First Health percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $100 | $100 | — | — | — | $100 – $100 |
| 13 | Kaiser percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $61 | $61 | $18 | 29% | — | $37 – $80 |
| 14 | MultiPlan percent of total billed charges · inpatientfrom % of charges · +1 other terms | 1 | $94 | $94 | — | — | — | $94 – $94 |
← Hospitals reporting HCPCS V2525 · Snapshot 20261111T120946Z-9134e7f7