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
HC LENS CUSTOM COSMETIC ASC SUPPLY, ALCON PREMIUM PLUS TORIC
Low
$0
Average
$114
Median
$65
High
$508
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
48 hospitals; the 90th percentile is 5.2× 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.
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66 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Fairview Health Services Minneapolis, MN other · inpatient | 1 | $248 | $248 | — | — | 5–50 | $248 – $248 |
| 2 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $322 | $434 | $220 | 51% | 5–50 | $169 – $698 |
| 3 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 5 | $8 | $7 | $4 | 55% | 2–20 | $3 – $13 |
| 4 | West Virginia University Hospitals, Inc. Morgantown, WV facility · other · outpatient | 1 | $65 | $65 | — | — | 2–20 | $65 – $65 |
| 5 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 6 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 7 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 8 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 9 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 10 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 11 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $52 | $52 | — | — | — | $52 – $52 |
| 12 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · inpatientfrom % of charges | 1 | $151 | $170 | $69 | 41% | — | $88 – $329 |
| 13 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $166 | $186 | $76 | 41% | — | $96 – $360 |
| 14 | ERIE COUNTY MEDICAL CENTER CORPORATION Buffalo, NY fee schedule · outpatient | 1 | $52 | $52 | — | — | — | $52 – $52 |
| 15 | Eastern Maine Medical Center Bangor, ME facility · fee schedule · outpatient | 1 | $53 | $53 | — | — | — | $53 – $53 |
| 16 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 2 | $52 | $52 | — | — | — | $52 – $52 |
| 17 | Garnet Health Medical Center Middletown, NY facility · fee schedule · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 18 | Garnet Health Medical Center Catskills Harris, NY facility · fee schedule · outpatient | 1 | $175 | $175 | — | — | — | $175 – $175 |
| 19 | Geisinger Medical Center Muncy, PA percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $48 | $47 | 98% | — | $10 – $113 |
| 20 | Geisinger Medical Center Muncy, PA percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $41 | $41 | 101% | — | $7 – $113 |
| 21 | Geisinger Wyoming Valley Wilkes-Barre, PA percent of total billed charges · inpatientfrom % of charges | 1 | $20 | $48 | $47 | 98% | — | $10 – $114 |
| 22 | Geisinger Wyoming Valley Wilkes-Barre, PA percent of total billed charges · outpatientfrom % of charges | 2 | $17 | $41 | $41 | 101% | — | $7 – $114 |
| 23 | Gottlieb Memorial Hospital Melrose Park, IL facility · percent of total billed charges · bothfrom % of charges | 1 | $228 | $228 | $95 | 42% | — | $73 – $383 |
| 24 | Gottlieb Memorial Hospital Melrose Park, IL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $169 | $169 | $70 | 42% | — | $54 – $284 |
| 25 | La Porte Hospital Company LLC La Porte, IN facility · percent of total billed charges · inpatientfrom % of charges | 2 | $0 | $0 | — | — | — | $0 – $0 |
← Payers reporting HCPCS V2599 · Snapshot 20261111T120946Z-9134e7f7