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
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 | $55.27 – $60.80 | — | — |
| Deaconess Medical Center | $55.27 – $60.80 | — | — |
| Kadlec Regional Medical Center | $56.40 – $67.68 | — | — |
| Mary Bridge Children's Hospital | $55.27 – $60.80 | — | — |
| MultiCare Auburn Medical Center | $55.27 – $60.80 | — | — |
| MultiCare Covington Medical Center | $55.27 – $60.80 | — | — |
| MultiCare Good Samaritan Hospital | $55.27 – $60.80 | — | — |
| MultiCare Valley Hospital | $56.93 – $60.80 | — | — |
| Overlake Hospital Medical Center & Clinics | $56.40 – $58.66 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $56.40 – $67.68 | — | — |
| Providence Centralia Hospital | $56.40 – $90.24 | — | — |
| Providence Regional Medical Center Everett | $56.40 – $62.04 | — | — |
| Providence St Peter Hospital | $56.40 – $90.24 | — | — |
| Swedish Edmonds Hospital | $56.40 – $67.68 | — | — |
| Swedish Issaquah | $56.40 – $67.68 | — | — |
| Swedish Medical Center | $56.40 – $67.68 | — | — |
| Swedish Medical Center / Cherry Hill | $56.40 – $67.68 | — | — |
| Tacoma General Allenmore Hospital | $55.27 – $60.80 | — | — |
| Virginia Mason Medical Center | $38.70 – $58.05 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $55.27 – $61.90 | — | — |
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)