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 trifocal 4.0/2.25
Chicago, IL
See all hospitals reporting HCPCS V2304 →Price type
Advocate Trinity Hospital’s median price of $161 is 74% above the median hospital's median price ($92), higher than 94% of the 730 hospitals reporting HCPCS V2304. 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 | $121 | $121 | — | — | — | $121 – $121 |
| 2 | Molina medicare advantage case rate · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 3 | Oscar medicare advantage case rate · outpatient | $125 | $125 | — | — | — | $125 – $125 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $404 | $404 | $16 | 4% | — | $388 – $420 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $442 | $442 | — | — | — | $442 – $442 |
Last updated: Nov 4, 2025
See Trifocal spherocylinder lens, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.