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
INTRAOCULAR KELMAN MULTIFLEX III +14.5 DIOPTER CONVEXOPLANO L13 MM OD5.5 MM PMMA LENS 1 PIECE UV ABSORBENT APHAKIA 115.3 A-CONSTANT ANTERIOR CHAMBER CLEAR
Low
$0
Average
$416
Median
$279
High
$4.3k
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. 699 hospitals; the 90th percentile is 7.4× 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 | North Carolina Baptist Hospital Winston Salem, NC | $31 | $41 | $21 | 52% | 147–1,470 | $17 – $86 |
| 2 | North Carolina Baptist Hospital Bermuda Run, NC | $36 | $47 | $25 | 52% | 147–1,470 | $20 – $164 |
| 3 | Mayo Clinic Florida Jacksonville, FL | $136 | $129 | $25 | 19% | 143–1,430 | $84 – $182 |
| 4 | Massachusetts Eye and Ear Boston, MA | $267 | $286 | $124 | 43% | 80–386 | $100 – $941 |
| 5 | Grundy County Memorial Hospital Grundy Center, IA | $281 | $477 | $331 | 69% | 80–98 | $183 – $1.2k |
| 6 | University of Wisconsin Hospital and Clinics Authority Madison, WI | $184 | $191 | $42 | 22% | 56–560 | $84 – $282 |
| 7 | Mayo Clinic Health System Menomonie, WI | $163 | $160 | $17 | 11% | 31–310 | $35 – $182 |
| 8 | Wentworth Douglass Hospital Dover, NH | $524 | $517 | $94 | 18% | 24–132 | $68 – $852 |
| 9 | Samaritan Hospital Troy, NY | $105 | $131 | $101 | 77% | 20–200 | $15 – $545 |
| 10 | Saint Marys Hospital Waterbury, CT | $116 | $153 | $109 | 71% | 10–100 | $25 – $545 |
Ask Claude or any MCP client for HCPCS V2630 pricing at a specific hospital — see how to connect.