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
Cntct lens pmma-toric/prism
Grayling, MI
See all hospitals reporting HCPCS V2501 →Price type
Munson Healthcare Grayling’s median price of $202 is 20% above the median hospital's median price ($168), higher than 77% of the 737 hospitals reporting HCPCS V2501. 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 | $75 | $75 | — | — | — | $75 – $75 |
| 2 | UnitedHealthcare medicare advantage professional · fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 3 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 4 | Molina managed medicaid facility · fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 5 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 6 | Aetna commercial professional · fee schedule · both | $139 | $139 | — | — | — | $139 – $139 |
| 7 | Blue Cross Blue Shield commercial professional · fee schedule · both | $180 | $180 | — | — | — | $180 – $180 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 11 | WellCare medicare advantage facility · fee schedule · outpatient | $202 | $202 | — | — | — | $202 – $202 |
| 12 | Molina medicare advantage facility · fee schedule · outpatient | $218 | $218 | — | — | — | $218 – $218 |
Last updated: Apr 17, 2026
See Toric or prism ballast contact lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.