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
Boulder, CO
See all hospitals reporting HCPCS V2305 →Price type
Boulder Community Health’s median price of $103 is 8% below the median hospital's median price ($112), higher than 31% of the 727 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: 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 | $61 | $61 | — | — | — | $61 – $61 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $84 | $84 | — | — | — | $84 – $84 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $91 | $91 | $10 | 11% | — | $81 – $101 |
| 4 | Anthem commercial professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 5 | Anthem managed care professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 6 | Aetna medicare advantage facility · case rate · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 7 | Anthem medicare advantage facility · case rate · outpatient | $101 | $101 | — | — | — | $101 – $101 |
| 8 | Humana medicare advantage professional · fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 9 | Humana medicare advantage facility · case rate · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 10 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 11 | Kaiser medicare advantage facility · case rate · outpatient | $103 | $103 | $1 | 0% | — | $103 – $104 |
| 12 | Devoted medicare advantage facility · case rate · outpatient | $104 | $104 | — | — | — | $104 – $104 |
| 13 | Kaiser medicare advantage professional · fee schedule · both | $109 | $109 | — | — | — | $109 – $109 |
| 14 | Aetna commercial professional · fee schedule · both | $121 | $121 | $37 | 31% | — | $84 – $158 |
| 15 | Kaiser commercial professional · fee schedule · both | $129 | $129 | — | — | — | $129 – $129 |
| 16 | MultiPlan commercial professional · fee schedule · both | $155 | $155 | — | — | — | $155 – $155 |
| 17 | Phcs commercial professional · fee schedule · both | $155 | $155 | — | — | — | $155 – $155 |
| 18 | Kaiser commercial facility · case rate · outpatient | $220 | $220 | $27 | 12% | — | $194 – $247 |
| 19 | Kaiser managed care facility · case rate · outpatient | $244 | $244 | — | — | — | $244 – $244 |
Last updated: Sep 16, 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.