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
Cleveland, OH
See all hospitals reporting HCPCS V2204 →Price type
Metrohealth System’s median price of $75 is 2% above the median hospital's median price ($73), higher than 55% 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: 3 payers, 4 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 | Medical Mutual cle-care hmo facility · fee schedule · outpatient | $37 | $37 | — | — | — | $37 – $37 |
| 2 | Medical Mutual all commercial plans facility · fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 3 | Caresource exchange facility · fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 4 | Aetna cvs exchange facility · fee schedule · outpatient | $109 | $109 | — | — | — | $109 – $109 |
Last updated: Apr 1, 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.