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 4.0/4.25
Arlington, TX
See all hospitals reporting HCPCS V2305 →Price type
AMH Cath Labs LLC’s median price of $115 is 2% above the median hospital's median price ($112), higher than 62% of the 723 hospitals reporting HCPCS V2305. 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 | $109 | $109 | — | — | — | $109 – $109 |
| 2 | Humana medicare advantage case rate · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $113 | $113 | — | — | — | $113 – $113 |
| 4 | Molina medicare advantage case rate · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $120 | $120 | — | — | — | $120 – $120 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $121 | $121 | — | — | — | $121 – $121 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $123 | $123 | — | — | — | $123 – $123 |
Last updated: Apr 21, 2026
See Trifocal eyeglass lens with specified power range pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.