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/4.2
Boulder, CO
See all hospitals reporting HCPCS V2205 →Price type
Boulder Community Health’s median price of $89 is 12% above the median hospital's median price ($79), higher than 68% of the 731 hospitals reporting HCPCS V2205. 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 | $49 | $49 | — | — | — | $49 – $49 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $68 | $68 | — | — | — | $68 – $68 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $73 | $73 | $8 | 11% | — | $65 – $81 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 5 | Anthem medicare advantage facility · case rate · outpatient | $81 | $81 | — | — | — | $81 – $81 |
| 6 | Humana medicare advantage professional · fee schedule · both | $81 | $81 | — | — | — | $81 – $81 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 8 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $83 | $83 | — | — | — | $83 – $83 |
| 9 | Kaiser medicare advantage facility · case rate · outpatient | $83 | $83 | $0 | 0% | — | $83 – $84 |
| 10 | Devoted medicare advantage facility · case rate · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 11 | Kaiser medicare advantage professional · fee schedule · both | $88 | $88 | — | — | — | $88 – $88 |
| 12 | Aetna commercial professional · fee schedule · both | $98 | $98 | $30 | 31% | — | $68 – $127 |
| 13 | Anthem commercial professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 14 | Anthem managed care professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 15 | Kaiser commercial professional · fee schedule · both | $104 | $104 | — | — | — | $104 – $104 |
| 16 | MultiPlan commercial professional · fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 17 | Phcs commercial professional · fee schedule · both | $125 | $125 | — | — | — | $125 – $125 |
| 18 | Kaiser commercial facility · case rate · outpatient | $177 | $177 | $21 | 12% | — | $156 – $199 |
| 19 | Kaiser managed care facility · case rate · outpatient | $197 | $197 | — | — | — | $197 – $197 |
Last updated: Sep 16, 2026
See Bifocal eyeglass lens, plano to ±4.00 sphere, 4.25 to 6.00 cylinder pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.