HCPCS V2304
Spherocylinder, trifocal, plano to plus or minus 4.00d sphere, 2.25-4.00d cylinder, 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 | $73.13 – $567 | — | — |
| Deaconess Medical Center | $102 – $353 | — | — |
| Kadlec Regional Medical Center | $128 – $238 | — | — |
| Mary Bridge Children's Hospital | $73.13 – $623 | — | — |
| MultiCare Auburn Medical Center | $71.10 – $367 | — | — |
| MultiCare Covington Medical Center | $71.10 – $367 | — | — |
| MultiCare Good Samaritan Hospital | $82.50 – $367 | — | — |
| MultiCare Valley Hospital | $81.26 – $352 | — | — |
| Overlake Hospital Medical Center & Clinics | $77.83 – $233 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $131 – $282 | — | — |
| Providence Centralia Hospital | $143 – $317 | — | — |
| Providence Regional Medical Center Everett | $102 – $197 | — | — |
| Providence St Peter Hospital | $72.14 – $277 | — | — |
| Swedish Edmonds Hospital | $127 – $311 | — | — |
| Swedish Issaquah | $127 – $188 | — | — |
| Swedish Medical Center | $127 – $303 | — | — |
| Swedish Medical Center / Cherry Hill | $127 – $303 | — | — |
| Tacoma General Allenmore Hospital | $71.10 – $367 | — | — |
| Virginia Mason Medical Center | $81.26 – $295 | — | — |
| Wellfound Behavioral Health Hospital | $214 | — | — |
| Yakima Valley Memorial | $73.13 – $220 | — | — |
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
- $84.87 (fee)