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 trifocal 4.12-7.
Elyria, OH
See all hospitals reporting HCPCS V2301 →Price type
University Hospitals Health System’s median price of $107 is about the same as the median hospital's median price ($107), higher than 50% of the 731 hospitals reporting HCPCS V2301. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 11 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 | Aetna medicare advantage facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 2 | Anthem medicare advantage facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 3 | Cigna medicare advantage facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 4 | Devoted medicare advantage facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 5 | Humana medicare advantage facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 6 | Medical Mutual medicare advantage facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 7 | Molina medicare advantage facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 8 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 9 | WellCare medicare advantage facility · fee schedule · outpatient | $107 | $107 | — | — | — | $107 – $107 |
| 10 | Ambetter commercial facility · fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
| 11 | Caresource marketplace facility · fee schedule · outpatient | $193 | $193 | — | — | — | $193 – $193 |
Last updated: Jul 14, 2026
See Trifocal spectacle lens, sphere power ±4.12 to ±7.00 diopters, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.