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 sphcyl bifocal 4.00d/.1
Grayling, MI
See all hospitals reporting HCPCS V2203 →Price type
Munson Healthcare Grayling’s median price of $84 is 20% above the median hospital's median price ($70), higher than 76% of the 733 hospitals reporting HCPCS V2203. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 12 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 | $31 | $31 | — | — | — | $31 – $31 |
| 2 | UnitedHealthcare medicare advantage professional · fee schedule · both | $42 | $42 | — | — | — | $42 – $42 |
| 3 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 4 | Molina managed medicaid facility · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 5 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 6 | Aetna commercial professional · fee schedule · both | $58 | $58 | — | — | — | $58 – $58 |
| 7 | Blue Cross Blue Shield commercial professional · fee schedule · both | $74 | $74 | — | — | — | $74 – $74 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 11 | WellCare medicare advantage facility · fee schedule · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 12 | Molina medicare advantage facility · fee schedule · outpatient | $91 | $91 | — | — | — | $91 – $91 |
Last updated: Apr 17, 2026
See Bifocal eyeglass lens, low-power prescription, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.