HCPCS V2101
Sphere, single vision, 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
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 | $48.59 – $377 | — | — |
| Deaconess Medical Center | $67.49 – $235 | — | — |
| Kadlec Regional Medical Center | $85.04 – $158 | — | — |
| Mary Bridge Children's Hospital | $48.59 – $414 | — | — |
| MultiCare Auburn Medical Center | $47.24 – $244 | — | — |
| MultiCare Covington Medical Center | $47.24 – $244 | — | — |
| MultiCare Good Samaritan Hospital | $54.82 – $244 | — | — |
| MultiCare Valley Hospital | $53.99 – $234 | — | — |
| Overlake Hospital Medical Center & Clinics | $51.72 – $155 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $87.34 – $187 | — | — |
| Providence Centralia Hospital | $95.32 – $211 | — | — |
| Providence Regional Medical Center Everett | $67.68 – $131 | — | — |
| Providence St Peter Hospital | $47.94 – $184 | — | — |
| Swedish Edmonds Hospital | $84.60 – $207 | — | — |
| Swedish Issaquah | $84.60 – $125 | — | — |
| Swedish Medical Center | $84.60 – $201 | — | — |
| Swedish Medical Center / Cherry Hill | $84.60 – $201 | — | — |
| Tacoma General Allenmore Hospital | $47.24 – $244 | — | — |
| Virginia Mason Medical Center | $53.99 – $196 | — | — |
| Wellfound Behavioral Health Hospital | $142 | — | — |
| Yakima Valley Memorial | $48.59 – $146 | — | — |
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
- $56.40 (fee)