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 sphere bifocal 4.12-7.0
Cedar Rapids, IA
See all hospitals reporting HCPCS V2201 →Price type
St Luke's Methodist Hospital’s median price of $73 is 5% below the median hospital's median price ($77), higher than 39% of the 735 hospitals reporting HCPCS V2201. 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, 17 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare hmo fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 2 | UnitedHealthcare ppo fee schedule · both | $35 | $35 | — | — | — | $35 – $35 |
| 3 | Wellmark commercial fee schedule · both | $63 | $63 | — | — | — | $63 – $63 |
| 4 | Wellmark hmo fee schedule · both | $63 | $63 | — | — | — | $63 – $63 |
| 5 | Wellmark ppo fee schedule · both | $63 | $63 | — | — | — | $63 – $63 |
| 6 | Aetna medicare advantage case rate · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 7 | Molina medicare advantage case rate · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 8 | Wellmark medicare advantage case rate · outpatient | $71 | $71 | — | — | — | $71 – $71 |
| 9 | Humana medicare advantage case rate · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 11 | Aetna hmo fee schedule · both | $78 | $78 | — | — | — | $78 – $78 |
| 12 | Aetna ppo fee schedule · both | $78 | $78 | — | — | — | $78 – $78 |
| 13 | UnitedHealthcare hmo fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 14 | UnitedHealthcare ppo fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 15 | Aetna hmo fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 16 | Aetna ppo fee schedule · outpatient | $129 | $129 | — | — | — | $129 – $129 |
| 17 | Cigna commercial fee schedule · both | $133 | $133 | — | — | — | $133 – $133 |
Last updated: Jan 28, 2026
See Bifocal eyeglass lens, moderate-strength prescription pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.