HCPCS V2115
Lenticular, (myodisc), per lens, single vision
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 | $92.64 – $719 | — | — |
| Deaconess Medical Center | $129 – $447 | — | — |
| Kadlec Regional Medical Center | $162 – $302 | — | — |
| Mary Bridge Children's Hospital | $92.64 – $789 | — | — |
| MultiCare Auburn Medical Center | $90.06 – $464 | — | — |
| MultiCare Covington Medical Center | $90.06 – $464 | — | — |
| MultiCare Good Samaritan Hospital | $105 – $464 | — | — |
| MultiCare Valley Hospital | $103 – $446 | — | — |
| Overlake Hospital Medical Center & Clinics | $98.59 – $296 | — | — |
| Prov Sacred HRT Med Ctr & Childs Hosp. | $167 – $357 | — | — |
| Providence Centralia Hospital | $182 – $402 | — | — |
| Providence Regional Medical Center Everett | $129 – $249 | — | — |
| Providence St Peter Hospital | $91.38 – $351 | — | — |
| Swedish Edmonds Hospital | $161 – $394 | — | — |
| Swedish Issaquah | $161 – $239 | — | — |
| Swedish Medical Center | $161 – $384 | — | — |
| Swedish Medical Center / Cherry Hill | $161 – $384 | — | — |
| Tacoma General Allenmore Hospital | $90.06 – $464 | — | — |
| Virginia Mason Medical Center | $103 – $374 | — | — |
| Wellfound Behavioral Health Hospital | $271 | — | — |
| Yakima Valley Memorial | $92.64 – $279 | — | — |
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
- $108 (fee)