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 sphere trifocal 4.12-7.
Boulder, CO
See all hospitals reporting HCPCS V2301 →Price type
Boulder Community Health’s median price of $100 is 7% below the median hospital's median price ($107), higher than 40% of the 731 hospitals reporting HCPCS V2301. 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 | $57 | $57 | — | — | — | $57 – $57 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $78 | $78 | — | — | — | $78 – $78 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $85 | $85 | $9 | 11% | — | $75 – $94 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 5 | Anthem medicare advantage facility · case rate · outpatient | $94 | $94 | — | — | — | $94 – $94 |
| 6 | Humana medicare advantage professional · fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 8 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 9 | Kaiser medicare advantage facility · case rate · outpatient | $97 | $97 | $0 | 0% | — | $96 – $97 |
| 10 | Devoted medicare advantage facility · case rate · outpatient | $97 | $97 | — | — | — | $97 – $97 |
| 11 | Anthem commercial professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 12 | Anthem managed care professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 13 | Kaiser medicare advantage professional · fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 14 | Aetna commercial professional · fee schedule · both | $113 | $113 | $35 | 31% | — | $78 – $148 |
| 15 | Kaiser commercial professional · fee schedule · both | $121 | $121 | — | — | — | $121 – $121 |
| 16 | MultiPlan commercial professional · fee schedule · both | $145 | $145 | — | — | — | $145 – $145 |
| 17 | Phcs commercial professional · fee schedule · both | $145 | $145 | — | — | — | $145 – $145 |
| 18 | Kaiser commercial facility · case rate · outpatient | $206 | $206 | $25 | 12% | — | $181 – $230 |
| 19 | Kaiser managed care facility · case rate · outpatient | $228 | $228 | — | — | — | $228 – $228 |
Last updated: Sep 16, 2026
See Trifocal spectacle lens, sphere power ±4.12 to ±7.00 diopters, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.