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 bifo 7.25-12/.25-
Devils Lake, ND
See all hospitals reporting HCPCS V2211 →Price type
Altru Hospital Devils Lake’s median price of $121 is 23% above the median hospital's median price ($98), higher than 73% of the 730 hospitals reporting HCPCS V2211. 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 | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $89 | $89 | — | — | — | $89 – $89 |
| 7 | Aetna medicare managed care plan facility · fee schedule · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $165 | $165 | $24 | 15% | — | $141 – $189 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $172 | $172 | $45 | 26% | — | $127 – $217 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $236 | $236 | — | — | — | $236 – $236 |
Last updated: Mar 1, 2026
See Bifocal contact lens, high prescription, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.