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/.12-
Elmhurst, IL
See all hospitals reporting HCPCS V2303 →Price type
Elmhurst Memorial Hospital’s median price of $136 is 51% above the median hospital's median price ($90), higher than 90% of the 733 hospitals reporting HCPCS V2303. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 2 payers, 3 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 | Aetna medicare managed care plan fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 2 | Blue Cross Blue Shield choice other commercial plan fee schedule · outpatient | $136 | $136 | — | — | — | $136 – $136 |
| 3 | Blue Cross Blue Shield ppo fee schedule · outpatient | $260 | $260 | — | — | — | $260 – $260 |
Last updated: Apr 1, 2026
See Trifocal eyeglass lens, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.