HCPCS V2301
Sphere, trifocal, plus or minus 4.12 to plus or minus 7.00d, per lens
Current code21 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $83.68 – $649 | — | — |
| Deaconess Medical Center | $116 – $404 | — | — |
| Kadlec Regional Medical Center | $146 – $273 | — | — |
| Mary Bridge Children's Hospital | $83.68 – $713 | — | — |
| MultiCare Auburn Medical Center | $81.36 – $420 | — | — |
| MultiCare Covington Medical Center | $81.36 – $420 | — | — |
| MultiCare Good Samaritan Hospital | $94.40 – $420 | — | — |
| MultiCare Valley Hospital | $92.98 – $403 | — | — |
| Overlake Hospital Medical Center & Clinics | $89.06 – $267 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $150 – $322 | — | — |
| Providence Centralia Hospital | $164 – $363 | — | — |
| Providence Regional Medical Center Everett | $117 – $225 | — | — |
| Providence St Peter Hospital | $82.54 – $317 | — | — |
| Swedish Edmonds Hospital | $146 – $356 | — | — |
| Swedish Issaquah | $146 – $216 | — | — |
| Swedish Medical Center | $146 – $347 | — | — |
| Swedish Medical Center / Cherry Hill | $146 – $347 | — | — |
| Tacoma General Allenmore Hospital | $81.36 – $420 | — | — |
| Virginia Mason Medical Center | $92.98 – $338 | — | — |
| Wellfound Behavioral Health Hospital | $245 | — | — |
| Yakima Valley Memorial | $83.68 – $252 | — | — |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $97.11 (fee)