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/.12-
Arlington, TX
See all hospitals reporting HCPCS V2303 →Price type
AMH Cath Labs LLC’s median price of $94 is 5% above the median hospital's median price ($90), higher than 62% of the 729 hospitals reporting HCPCS V2303. 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, 8 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 2 | Humana medicare advantage case rate · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 4 | Molina medicare advantage case rate · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $99 | $99 | — | — | — | $99 – $99 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $102 | $102 | — | — | — | $102 – $102 |
Last updated: Apr 21, 2026
See Trifocal eyeglass lens, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.