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 4.0/2.25
Grayling, MI
See all hospitals reporting HCPCS V2304 →Price type
Munson Healthcare Grayling’s median price of $110 is 19% above the median hospital's median price ($92), higher than 78% of the 730 hospitals reporting HCPCS V2304. 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 | $40 | $40 | — | — | — | $40 – $40 |
| 2 | UnitedHealthcare medicare advantage professional · fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 3 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 4 | Molina managed medicaid facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 5 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 6 | Aetna commercial professional · fee schedule · both | $74 | $74 | — | — | — | $74 – $74 |
| 7 | Blue Cross Blue Shield commercial professional · fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 11 | WellCare medicare advantage facility · fee schedule · outpatient | $110 | $110 | — | — | — | $110 – $110 |
| 12 | Molina medicare advantage facility · fee schedule · outpatient | $118 | $118 | — | — | — | $118 – $118 |
Last updated: Apr 17, 2026
See Trifocal spherocylinder lens, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.