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
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 | $53.74 – $59.12 | — | — |
| Deaconess Medical Center | $53.74 – $59.12 | — | — |
| Kadlec Regional Medical Center | $54.84 – $65.81 | — | — |
| Mary Bridge Children's Hospital | $53.74 – $59.12 | — | — |
| MultiCare Auburn Medical Center | $53.74 – $59.12 | — | — |
| MultiCare Covington Medical Center | $53.74 – $59.12 | — | — |
| MultiCare Good Samaritan Hospital | $53.74 – $59.12 | — | — |
| MultiCare Valley Hospital | $55.36 – $59.12 | — | — |
| Overlake Hospital Medical Center & Clinics | $54.84 – $57.03 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $54.84 – $65.81 | — | — |
| Providence Centralia Hospital | $54.84 – $87.74 | — | — |
| Providence Regional Medical Center Everett | $54.84 – $60.32 | — | — |
| Providence St Peter Hospital | $54.84 – $87.74 | — | — |
| Swedish Edmonds Hospital | $54.84 – $65.81 | — | — |
| Swedish Issaquah | $54.84 – $65.81 | — | — |
| Swedish Medical Center | $54.84 – $65.81 | — | — |
| Swedish Medical Center / Cherry Hill | $54.84 – $65.81 | — | — |
| Tacoma General Allenmore Hospital | $53.74 – $59.12 | — | — |
| Virginia Mason Medical Center | $37.63 – $56.45 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $53.74 – $60.19 | — | — |
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)