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 sphc trifocal 4.25-7/4.
Devils Lake, ND
See all hospitals reporting HCPCS V2309 →Price type
Altru Hospital Devils Lake’s median price of $106 is 15% below the median hospital's median price ($125), higher than 16% of the 729 hospitals reporting HCPCS V2309. 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 | $36 | $36 | — | — | — | $36 – $36 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $105 | $105 | — | — | — | $105 – $105 |
| 7 | Aetna medicare managed care plan facility · fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $145 | $145 | $21 | 15% | — | $124 – $166 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $151 | $151 | $40 | 26% | — | $111 – $191 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $208 | $208 | — | — | — | $208 – $208 |
Last updated: Mar 1, 2026
See Trifocal eyeglass lens, high-power sphere and cylinder pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.