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
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 | $83.17 – $91.49 | — | — |
| Deaconess Medical Center | $83.17 – $91.49 | — | — |
| Kadlec Regional Medical Center | $84.87 – $102 | — | — |
| Mary Bridge Children's Hospital | $83.17 – $91.49 | — | — |
| MultiCare Auburn Medical Center | $83.17 – $91.49 | — | — |
| MultiCare Covington Medical Center | $83.17 – $91.49 | — | — |
| MultiCare Good Samaritan Hospital | $83.17 – $91.49 | — | — |
| MultiCare Valley Hospital | $85.67 – $91.49 | — | — |
| Overlake Hospital Medical Center & Clinics | $84.87 – $88.26 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $84.87 – $102 | — | — |
| Providence Centralia Hospital | $84.87 – $136 | — | — |
| Providence Regional Medical Center Everett | $84.87 – $93.36 | — | — |
| Providence St Peter Hospital | $84.87 – $136 | — | — |
| Swedish Edmonds Hospital | $84.87 – $102 | — | — |
| Swedish Issaquah | $84.87 – $102 | — | — |
| Swedish Medical Center | $84.87 – $102 | — | — |
| Swedish Medical Center / Cherry Hill | $84.87 – $102 | — | — |
| Tacoma General Allenmore Hospital | $83.17 – $91.49 | — | — |
| Virginia Mason Medical Center | $58.25 – $87.37 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $83.17 – $93.15 | — | — |
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)