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/4.2
Devils Lake, ND
See all hospitals reporting HCPCS V2205 →Price type
Altru Hospital Devils Lake’s median price of $81 is 2% above the median hospital's median price ($79), higher than 58% of the 731 hospitals reporting HCPCS V2205. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | Medica medicaid managed care plan facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $45 | $45 | — | — | — | $45 – $45 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $74 | $74 | — | — | — | $74 – $74 |
| 7 | Aetna medicare managed care plan facility · fee schedule · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $111 | $111 | $16 | 15% | — | $95 – $127 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $116 | $116 | $30 | 26% | — | $85 – $146 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $159 | $159 | — | — | — | $159 – $159 |
Last updated: Mar 1, 2026
See Bifocal eyeglass lens, plano to ±4.00 sphere, 4.25 to 6.00 cylinder pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.