HCPCS V2114
Spherocylinder, single vision, sphere over plus or minus 12.00d, 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 | $87.25 – $95.97 | — | — |
| Deaconess Medical Center | $87.25 – $95.97 | — | — |
| Kadlec Regional Medical Center | $89.03 – $107 | — | — |
| Mary Bridge Children's Hospital | $87.25 – $95.97 | — | — |
| MultiCare Auburn Medical Center | $87.25 – $95.97 | — | — |
| MultiCare Covington Medical Center | $87.25 – $95.97 | — | — |
| MultiCare Good Samaritan Hospital | $87.25 – $95.97 | — | — |
| MultiCare Valley Hospital | $89.87 – $95.97 | — | — |
| Overlake Hospital Medical Center & Clinics | $89.03 – $92.59 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $89.03 – $107 | — | — |
| Providence Centralia Hospital | $89.03 – $142 | — | — |
| Providence Regional Medical Center Everett | $89.03 – $97.93 | — | — |
| Providence St Peter Hospital | $89.03 – $142 | — | — |
| Swedish Edmonds Hospital | $89.03 – $107 | — | — |
| Swedish Issaquah | $89.03 – $107 | — | — |
| Swedish Medical Center | $89.03 – $107 | — | — |
| Swedish Medical Center / Cherry Hill | $89.03 – $107 | — | — |
| Tacoma General Allenmore Hospital | $87.25 – $95.97 | — | — |
| Virginia Mason Medical Center | $61.10 – $91.64 | — | — |
| Wellfound Behavioral Health Hospital | — | — | — |
| Yakima Valley Memorial | $87.25 – $97.72 | — | — |
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
- $89.03 (fee)