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 sphc trifocal 4.25-7/4.
Cedar Rapids, IA
See all hospitals reporting HCPCS V2309 →Price type
St Luke's Methodist Hospital’s median price of $109 is 12% below the median hospital's median price ($125), higher than 26% of the 729 hospitals reporting HCPCS V2309. 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 | $52 | $52 | — | — | — | $52 – $52 |
| 2 | UnitedHealthcare ppo fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 3 | Wellmark commercial fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
| 4 | Wellmark hmo fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
| 5 | Wellmark ppo fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
| 6 | Aetna medicare advantage case rate · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 7 | Molina medicare advantage case rate · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 8 | Wellmark medicare advantage case rate · outpatient | $106 | $106 | — | — | — | $106 – $106 |
| 9 | Humana medicare advantage case rate · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $109 | $109 | — | — | — | $109 – $109 |
| 11 | Aetna hmo fee schedule · both | $116 | $116 | — | — | — | $116 – $116 |
| 12 | Aetna ppo fee schedule · both | $116 | $116 | — | — | — | $116 – $116 |
| 13 | UnitedHealthcare hmo fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 14 | UnitedHealthcare ppo fee schedule · outpatient | $166 | $166 | — | — | — | $166 – $166 |
| 15 | Aetna hmo fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 16 | Aetna ppo fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 17 | Cigna commercial fee schedule · both | $198 | $198 | — | — | — | $198 – $198 |
Last updated: Jan 28, 2026
See Trifocal eyeglass lens, high-power sphere and cylinder pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.