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 sphcyl bifocal 4.00d/.1
Boulder, CO
See all hospitals reporting HCPCS V2203 →Price type
Boulder Community Health’s median price of $73 is 4% above the median hospital's median price ($70), higher than 56% of the 733 hospitals reporting HCPCS V2203. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 19 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 | UnitedHealthcare commercial professional · fee schedule · both | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $56 | $56 | — | — | — | $56 – $56 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $60 | $60 | $7 | 11% | — | $54 – $67 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 5 | Anthem medicare advantage facility · case rate · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 6 | Humana medicare advantage professional · fee schedule · both | $67 | $67 | — | — | — | $67 – $67 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 8 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 9 | Kaiser medicare advantage facility · case rate · outpatient | $69 | $69 | $0 | 0% | — | $68 – $69 |
| 10 | Devoted medicare advantage facility · case rate · outpatient | $69 | $69 | — | — | — | $69 – $69 |
| 11 | Kaiser medicare advantage professional · fee schedule · both | $73 | $73 | — | — | — | $73 – $73 |
| 12 | Aetna commercial professional · fee schedule · both | $81 | $81 | $25 | 31% | — | $56 – $105 |
| 13 | Kaiser commercial professional · fee schedule · both | $86 | $86 | — | — | — | $86 – $86 |
| 14 | Anthem commercial professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 15 | Anthem managed care professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 16 | MultiPlan commercial professional · fee schedule · both | $103 | $103 | — | — | — | $103 – $103 |
| 17 | Phcs commercial professional · fee schedule · both | $103 | $103 | — | — | — | $103 – $103 |
| 18 | Kaiser commercial facility · case rate · outpatient | $147 | $147 | $18 | 12% | — | $129 – $164 |
| 19 | Kaiser managed care facility · case rate · outpatient | $163 | $163 | — | — | — | $163 – $163 |
Last updated: Sep 16, 2026
See Bifocal eyeglass lens, low-power prescription, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.