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 bifocal 4.25-7/4.
Cedar Rapids, IA
See all hospitals reporting HCPCS V2209 →Price type
St Luke's Methodist Hospital’s median price of $91 is 4% above the median hospital's median price ($88), higher than 64% of the 730 hospitals reporting HCPCS V2209. 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare hmo fee schedule · both | $43 | $43 | — | — | — | $43 – $43 |
| 2 | UnitedHealthcare ppo fee schedule · both | $43 | $43 | — | — | — | $43 – $43 |
| 3 | Wellmark commercial fee schedule · both | $78 | $78 | — | — | — | $78 – $78 |
| 4 | Wellmark hmo fee schedule · both | $78 | $78 | — | — | — | $78 – $78 |
| 5 | Wellmark ppo fee schedule · both | $78 | $78 | — | — | — | $78 – $78 |
| 6 | Aetna medicare advantage case rate · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 7 | Molina medicare advantage case rate · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 8 | Wellmark medicare advantage case rate · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 9 | Humana medicare advantage case rate · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $91 | $91 | — | — | — | $91 – $91 |
| 11 | Aetna hmo fee schedule · both | $97 | $97 | — | — | — | $97 – $97 |
| 12 | Aetna ppo fee schedule · both | $97 | $97 | — | — | — | $97 – $97 |
| 13 | UnitedHealthcare hmo fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 14 | UnitedHealthcare ppo fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 15 | Aetna hmo fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 16 | Aetna ppo fee schedule · outpatient | $160 | $160 | — | — | — | $160 – $160 |
| 17 | Cigna commercial fee schedule · both | $165 | $165 | — | — | — | $165 – $165 |
Last updated: Jan 28, 2026
See Bifocal eyeglass lens, custom power, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.