Intraocular lens implant, 16.5 diopter Tecnis toric at Samaritan Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

LENS IOL STAAR TORIC 15.0/3.5 AA4203TL15.0/3.5

Troy, NY

See all hospitals reporting HCPCS V2787 →

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Pricing by billing methodology

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How this price compares nationally

Samaritan Hospital’s median price of $275 is 53% below the median hospital's median price ($585), higher than 19% of the 1,050 hospitals reporting HCPCS V2787. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2787 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 13 payers, 24 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 uhc essential plan medicaid facility · percent of total billed charges · bothfrom % of charges	$197	$166	$72	43%	—	$20 – $258
2	UnitedHealthcare united healthcare medicaid harp chip facility · percent of total billed charges · bothfrom % of charges	$197	$166	$72	43%	—	$20 – $258
3	Blue Cross Blue Shield blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$271	$228	$99	43%	—	$28 – $355
4	Blue Cross Blue Shield blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$271	$228	$99	43%	—	$28 – $355
5	Carefirst blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$271	$228	$99	43%	—	$28 – $355
6	Carefirst blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$271	$228	$99	43%	—	$28 – $355
7	Excellus blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$271	$228	$99	43%	—	$28 – $355
8	Highmark blue shield of ne new york ascend facility · percent of total billed charges · bothfrom % of charges	$271	$228	$99	43%	—	$28 – $355
9	Highmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$271	$228	$99	43%	—	$28 – $355
10	Highmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$271	$228	$99	43%	—	$28 – $355
11	Premera blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$271	$228	$99	43%	—	$28 – $355
12	Regence blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$271	$228	$99	43%	—	$28 – $355
13	Wellmark blue shield of ne new york hmo facility · percent of total billed charges · bothfrom % of charges	$271	$228	$99	43%	—	$28 – $355
14	Wellmark blue shield of ne new york ppo facility · percent of total billed charges · bothfrom % of charges	$271	$228	$99	43%	—	$28 – $355
15	UnitedHealthcare united healthcare facility · percent of total billed charges · bothfrom % of charges	$288	$321	$173	54%	—	$28 – $645
16	First Health first health facility · percent of total billed charges · bothfrom % of charges	$394	$331	$144	43%	—	$40 – $516
17	Cigna cigna facility · percent of total billed charges · bothfrom % of charges	$419	$352	$153	43%	—	$43 – $548
18	MultiPlan beech street facility · percent of total billed charges · bothfrom % of charges	$443	$373	$162	43%	—	$45 – $581
19	MultiPlan multiplan facility · percent of total billed charges · bothfrom % of charges	$443	$373	$162	43%	—	$45 – $581
20	Phcs multiplan facility · percent of total billed charges · bothfrom % of charges	$443	$373	$162	43%	—	$45 – $581
21	Anthem empire medicaid facility · percent of total billed charges · bothfrom % of charges	$493	$414	$180	43%	—	$50 – $645
22	Anthem empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$493	$414	$180	43%	—	$50 – $645
23	Excellus empire medicaid facility · percent of total billed charges · bothfrom % of charges	$493	$414	$180	43%	—	$50 – $645
24	Excellus empire medicaid essential 1 2 3 4 facility · percent of total billed charges · bothfrom % of charges	$493	$414	$180	43%	—	$50 – $645

Last updated: Mar 31, 2026

Compare to other hospitals

See Intraocular lens implant, 16.5 diopter Tecnis toric pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.