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
Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.
| Hospital | Medicare Advantage rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $95.17 – $105 | — | — |
| Deaconess Medical Center | $95.17 – $105 | — | — |
| Kadlec Regional Medical Center | $97.11 – $117 | — | — |
| Mary Bridge Children's Hospital | $95.17 – $105 | — | — |
| MultiCare Auburn Medical Center | $95.17 – $105 | — | — |
| MultiCare Covington Medical Center | $95.17 – $105 | — | — |
| MultiCare Good Samaritan Hospital | $95.17 – $105 | — | — |
| MultiCare Valley Hospital | $98.02 – $105 | — | — |
| Overlake Hospital Medical Center & Clinics | $97.11 – $101 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $97.11 – $117 | — | — |
| Providence Centralia Hospital | $97.11 – $155 | — | — |
| Providence Regional Medical Center Everett | $97.11 – $107 | — | — |
| Providence St Peter Hospital | $97.11 – $155 | — | — |
| Swedish Edmonds Hospital | $97.11 – $117 | — | — |
| Swedish Issaquah | $97.11 – $117 | — | — |
| Swedish Medical Center | $97.11 – $117 | — | — |
| Swedish Medical Center / Cherry Hill | $97.11 – $117 | — | — |
| Tacoma General Allenmore Hospital | $95.17 – $105 | — | — |
| Virginia Mason Medical Center | $66.65 – $99.97 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $95.17 – $107 | — | — |
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)