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 trifocal 4.0/4.25
Dubuque, IA
See all hospitals reporting HCPCS V2305 →Price type
The Finley Hospital’s median price of $98 is 12% below the median hospital's median price ($112), higher than 20% of the 727 hospitals reporting HCPCS V2305. 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 | $47 | $47 | — | — | — | $47 – $47 |
| 2 | UnitedHealthcare ppo fee schedule · both | $47 | $47 | — | — | — | $47 – $47 |
| 3 | Wellmark commercial fee schedule · both | $84 | $84 | — | — | — | $84 – $84 |
| 4 | Wellmark hmo fee schedule · both | $84 | $84 | — | — | — | $84 – $84 |
| 5 | Wellmark ppo fee schedule · both | $84 | $84 | — | — | — | $84 – $84 |
| 6 | Aetna hmo fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 7 | Aetna ppo fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 8 | Aetna medicare advantage case rate · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 9 | Molina medicare advantage case rate · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 10 | Wellmark medicare advantage case rate · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 11 | Humana medicare advantage case rate · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $98 | $98 | — | — | — | $98 – $98 |
| 13 | Aetna hmo fee schedule · both | $105 | $105 | — | — | — | $105 – $105 |
| 14 | Aetna ppo fee schedule · both | $105 | $105 | — | — | — | $105 – $105 |
| 15 | UnitedHealthcare hmo fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 16 | UnitedHealthcare ppo fee schedule · outpatient | $150 | $150 | — | — | — | $150 – $150 |
| 17 | Cigna commercial fee schedule · both | $178 | $178 | — | — | — | $178 – $178 |
Last updated: Jan 28, 2026
See Trifocal eyeglass lens with specified power range pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.