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
Lens sphcy bifocal 4.00d/2.1
Chicago, IL
See all hospitals reporting HCPCS V2204 →Price type
Advocate Trinity Hospital’s median price of $128 is 75% above the median hospital's median price ($73), higher than 94% of the 732 hospitals reporting HCPCS V2204. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 5 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ambetter medicare advantage case rate · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 2 | Molina medicare advantage case rate · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 3 | Oscar medicare advantage case rate · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $322 | $322 | $13 | 4% | — | $310 – $335 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $353 | $353 | — | — | — | $353 – $353 |
Last updated: Nov 4, 2025
See Bifocal eyeglass lens with sphere and cylinder correction pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.