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
$94
Median
$80
High
$394
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
56 hospitals; the 90th percentile is 13.6× 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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73 hospital rates
iThe hospitals that file a UnitedHealthcare 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 percent of total billed charges · inpatientfrom % of charges | 2 | $190 | $255 | $129 | 51% | 16–61 | $99 – $410 |
| 2 | Fairview Health Services Minneapolis, MN percent of total billed charges · outpatientfrom % of charges | 2 | $190 | $255 | $129 | 51% | 16–61 | $99 – $410 |
| 3 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 1 | $10 | $10 | — | — | 1–10 | $10 – $10 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 5 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE fee schedule · outpatient | 2 | $353 | $353 | $277 | 78% | — | $77 – $630 |
| 6 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE other · outpatient | 1 | $73 | $73 | — | — | — | $73 – $73 |
| 7 | BELLEVUE MEDICAL CENTER LLC Bellevue, NE percent of total billed charges · outpatientfrom % of charges | 1 | $18 | $18 | — | — | — | $18 – $18 |
| 8 | CLEVELAND CLINIC AVON HOSPITAL Avon, OH facility · case rate · outpatient | 1 | $15 | $15 | — | — | — | $15 – $15 |
| 9 | CLEVELAND CLINIC CHILDREN'S HOSPITAL FOR REHABILITATION Cleveland, OH facility · case rate · outpatient | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 10 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Mentor, OH facility · case rate · outpatient | 1 | $16 | $16 | — | — | — | $16 – $16 |
| 11 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Euclid, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 12 | CLEVELAND CLINIC HEALTH SYSTEM - EAST REGION Warrensville Heights, OH facility · case rate · outpatient | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 13 | Cheshire Medical Center Keene, NH professional · fee schedule · outpatient | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 14 | Childrens Hospital Colorado Aurora, CO percent of total billed charges · outpatientfrom % of charges | 2 | $134 | $150 | $62 | 41% | — | $74 – $302 |
| 15 | Cleveland Clinic Mercy Hospital Canton, OH facility · case rate · outpatient | 1 | $14 | $14 | — | — | — | $14 – $14 |
| 16 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · inpatientfrom % of charges | 2 | $137 | $137 | $5 | 4% | — | $131 – $142 |
| 17 | Fairview Bethesda Hospital St. Paul, MN percent of total billed charges · outpatientfrom % of charges | 2 | $137 | $137 | $5 | 4% | — | $131 – $142 |
| 18 | Fairview Health Services Edina, MN percent of total billed charges · inpatientfrom % of charges | 2 | $99 | $99 | — | — | — | $99 – $99 |
| 19 | Fairview Health Services Edina, MN percent of total billed charges · outpatientfrom % of charges | 2 | $99 | $99 | — | — | — | $99 – $99 |
| 20 | Fairview Health Services Burnsville, MN percent of total billed charges · inpatientfrom % of charges | 2 | $99 | $99 | — | — | — | $99 – $99 |
| 21 | Fairview Health Services Burnsville, MN percent of total billed charges · outpatientfrom % of charges | 2 | $99 | $99 | — | — | — | $99 – $99 |
| 22 | Fairview Health Services Wyoming, MN percent of total billed charges · inpatientfrom % of charges | 2 | $99 | $99 | — | — | — | $99 – $99 |
| 23 | Fairview Health Services Wyoming, MN percent of total billed charges · outpatientfrom % of charges | 2 | $99 | $99 | — | — | — | $99 – $99 |
| 24 | Fairview Health Services Princeton, MN percent of total billed charges · inpatientfrom % of charges | 2 | $99 | $99 | — | — | — | $99 – $99 |
| 25 | Fairview Health Services Princeton, MN percent of total billed charges · outpatientfrom % of charges | 2 | $99 | $99 | — | — | — | $99 – $99 |
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