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
$121
Median
$94
High
$515
Each hospital's average Cigna rate, under the methodology and billing class chosen below.
37 hospitals; the 90th percentile is 23.9× 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.
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43 hospital rates
iThe hospitals that file a Cigna 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 | $391 | $391 | — | — | 5–50 | $391 – $391 |
| 2 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 1 | $265 | $357 | $181 | 51% | 5–50 | $139 – $575 |
| 3 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 4 | Charles A. Dean Memorial Hospital Greenville, ME professional · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 5 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 6 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 1 | $150 | $168 | $69 | 41% | — | $87 – $325 |
| 7 | Eastern Maine Medical Center Bangor, ME professional · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 8 | Fairview Maple Grove Surgery Center Maple Grove, MN percent of total billed charges · outpatientfrom % of charges | 1 | $301 | $305 | $51 | 17% | — | $239 – $378 |
| 9 | Geisinger Medical Center Muncy, PA percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $31 | $31 | 98% | — | $6 – $74 |
| 10 | Geisinger Wyoming Valley Wilkes-Barre, PA percent of total billed charges · outpatientfrom % of charges | 1 | $13 | $30 | $29 | 98% | — | $6 – $72 |
| 11 | Gottlieb Memorial Hospital Melrose Park, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $110 | $114 | $52 | 45% | — | $30 – $224 |
| 12 | La Porte Hospital Company LLC La Porte, IN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $0 | $0 | — | — | — | $0 – $0 |
| 13 | Lake Charles Memorial Hospital Charles., LA percent of total billed charges · outpatientfrom % of charges | 1 | $490 | $490 | — | — | — | $490 – $490 |
| 14 | Loyola University Medical Center Maywood, IL facility · percent of total billed charges · outpatientfrom % of charges | 2 | $139 | $150 | $77 | 51% | — | $35 – $323 |
| 15 | Maine Coast Regional Health Facilities Ellsworth, ME professional · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 16 | Mary Hitchcock Memorial Hospital Lebanon, NH professional · fee schedule · outpatient | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 17 | Mary Imogene Bassett Hospital Cooperstown, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 18 | Mayo Clinic Health System Red Wing 55066-2848 facility · percent of total billed charges · bothfrom % of charges | 1 | $94 | $94 | — | — | — | $94 – $94 |
| 19 | Mayo Regional Hospital Dover Foxcroft, ME professional · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 20 | Memorial Hospital of Laramie County Cheyenne, WY fee schedule · both | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 21 | Mercy Hospital Portland, ME professional · fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 22 | Montefiore Medical Center Bronx, NY percent of total billed charges · bothfrom % of charges | 4 | $42 | $42 | — | — | — | $42 – $42 |
| 23 | North Carolina Baptist Hospital Bermuda Run, NC percent of total billed charges · outpatientfrom % of charges | 3 | $79 | $95 | $29 | 31% | — | $69 – $136 |
| 24 | Parkland Health Dallas, TX facility · percent of total billed charges · bothfrom % of charges | 2 | $127 | $127 | $15 | 12% | — | $112 – $143 |
| 25 | Phoenix Children's Hospital Phoenix, AZ facility · percent of total billed charges · bothfrom % of charges | 2 | $676 | $649 | $133 | 21% | — | $248 – $842 |
← Payers reporting HCPCS V2599 · Snapshot 20261111T120946Z-9134e7f7