HCPCS V2100
Sphere, single vision, plano to plus or minus 4.00, 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 | $47.25 – $367 | — | — |
| Deaconess Medical Center | $65.62 – $228 | — | — |
| Kadlec Regional Medical Center | $82.70 – $154 | — | — |
| Mary Bridge Children's Hospital | $47.25 – $402 | — | — |
| MultiCare Auburn Medical Center | $45.94 – $237 | — | — |
| MultiCare Covington Medical Center | $45.94 – $237 | — | — |
| MultiCare Good Samaritan Hospital | $53.30 – $237 | — | — |
| MultiCare Valley Hospital | $52.50 – $228 | — | — |
| Overlake Hospital Medical Center & Clinics | $50.29 – $151 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $84.93 – $182 | — | — |
| Providence Centralia Hospital | $92.68 – $205 | — | — |
| Providence Regional Medical Center Everett | $65.81 – $127 | — | — |
| Providence St Peter Hospital | $46.61 – $179 | — | — |
| Swedish Edmonds Hospital | $82.26 – $201 | — | — |
| Swedish Issaquah | $82.26 – $122 | — | — |
| Swedish Medical Center | $82.26 – $196 | — | — |
| Swedish Medical Center / Cherry Hill | $82.26 – $196 | — | — |
| Tacoma General Allenmore Hospital | $45.94 – $237 | — | — |
| Virginia Mason Medical Center | $52.50 – $191 | — | — |
| Wellfound Behavioral Health Hospital | $138 | — | — |
| Yakima Valley Memorial | $47.25 – $142 | — | — |
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
- $54.84 (fee)