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 bifocal 4.00d/2.1
Boulder, CO
See all hospitals reporting HCPCS V2204 →Price type
Boulder Community Health’s median price of $76 is 4% above the median hospital's median price ($73), higher than 58% of the 732 hospitals reporting HCPCS V2204. 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 | $42 | $42 | — | — | — | $42 – $42 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $58 | $58 | — | — | — | $58 – $58 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $63 | $63 | $7 | 11% | — | $56 – $70 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 5 | Anthem medicare advantage facility · case rate · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 6 | Humana medicare advantage professional · fee schedule · both | $70 | $70 | — | — | — | $70 – $70 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 8 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 9 | Kaiser medicare advantage facility · case rate · outpatient | $72 | $72 | $0 | 0% | — | $71 – $72 |
| 10 | Devoted medicare advantage facility · case rate · outpatient | $72 | $72 | — | — | — | $72 – $72 |
| 11 | Kaiser medicare advantage professional · fee schedule · both | $75 | $75 | — | — | — | $75 – $75 |
| 12 | Aetna commercial professional · fee schedule · both | $84 | $84 | $26 | 31% | — | $58 – $109 |
| 13 | Kaiser commercial professional · fee schedule · both | $89 | $89 | — | — | — | $89 – $89 |
| 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 | $107 | $107 | — | — | — | $107 – $107 |
| 17 | Phcs commercial professional · fee schedule · both | $107 | $107 | — | — | — | $107 – $107 |
| 18 | Kaiser commercial facility · case rate · outpatient | $152 | $152 | $18 | 12% | — | $134 – $171 |
| 19 | Kaiser managed care facility · case rate · outpatient | $169 | $169 | — | — | — | $169 – $169 |
Last updated: Sep 16, 2026
See Bifocal eyeglass lens with sphere and cylinder correction pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.