Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Generation details were not recorded for this description.
Original text from hospital filings
SPHERE SILICONE 18MM (IMPLANT SPHERE SILICONE 18MM EA/1)
Low
$0
Average
$1.7k
Median
$1.3k
High
$12.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 80.8× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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59 hospital rates
iThe hospitals that file a Blue Cross Blue Shield rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Adventhealth Ottawa Ottawa, KS fee schedule · outpatient | 1 | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 2 | Amisub of South Carolina, Inc. Fort Mill, SC fee schedule · both | 4 | $1 | $1 | $0 | 43% | — | $0 – $1 |
| 3 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 4 | $348 | $342 | $17 | 5% | — | $307 – $352 |
| 4 | Benefis Hospitals Inc Helena, MT percent of total billed charges · inpatientfrom % of charges | 2 | $331 | $331 | $3 | 1% | — | $328 – $333 |
| 5 | Benefis Hospitals Inc Helena, MT percent of total billed charges · outpatientfrom % of charges | 2 | $274 | $274 | $8 | 3% | — | $266 – $281 |
| 6 | Benson Hospital Corporation Benson, AZ facility · fee schedule · outpatient | 1 | $12.2k | $12.2k | — | — | — | $12.2k – $12.2k |
| 7 | Blessing Hospital Quincy, IL professional · fee schedule · both | 1 | $250 | $229 | $29 | 13% | — | $188 – $250 |
| 8 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 9 | Boston Children's Hospital Lexington, MA percent of total billed charges · bothfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 10 | Boston Children's Hospital Brookline, MA percent of total billed charges · bothfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 11 | Boston Children's Hospital Dartmouth, MA percent of total billed charges · bothfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 12 | Boston Children's Hospital Boston, MA percent of total billed charges · bothfrom % of charges | 4 | $139 | $139 | $8 | 6% | — | $128 – $150 |
| 13 | Boston Children's Hospital Peabody, MA percent of total billed charges · bothfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 14 | Boston Children's Hospital Waltham, MA percent of total billed charges · bothfrom % of charges | 2 | $139 | $139 | $11 | 8% | — | $128 – $150 |
| 15 | Boston Children's Hospital Needham, MA percent of total billed charges · bothfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 16 | Boston Children's Hospital Weymouth, MA percent of total billed charges · bothfrom % of charges | 1 | $150 | $150 | — | — | — | $150 – $150 |
| 17 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 18 | Covenant Medical Center Inc Saginaw, MI facility · fee schedule · outpatient | 1 | $2.3k | $2.3k | — | — | — | $2.3k – $2.3k |
| 19 | Henry Ford Health System West Bloomfield, MI facility · fee schedule · outpatient | 3 | $2.4k | $2.6k | $418 | 16% | — | $2.4k – $3.2k |
| 20 | Henry Ford Health System Plymouth, MI facility · fee schedule · outpatient | 3 | $4.7k | $4.2k | $693 | 16% | — | $3.2k – $4.7k |
| 21 | Henry Ford Macomb Hospital Corporation Clinton Twp, MI facility · fee schedule · outpatient | 3 | $2.0k | $2.4k | $560 | 23% | — | $2.0k – $3.2k |
| 22 | Henry Ford Wyandotte Hospital Brownstown Charter Twp., MI facility · fee schedule · outpatient | 3 | $2.4k | $2.7k | $410 | 15% | — | $2.4k – $3.2k |
| 23 | HonorHealth Florence Medical Center Florence, AZ facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | $18 | 1% | — | $1.8k – $1.9k |
| 24 | Honorhealth Deer Valley Medical Center Phoenix, AZ facility · fee schedule · outpatient | 1 | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 25 | Honorhealth Four Peaks Medical Center Mesa, AZ facility · fee schedule · outpatient | 1 | $1.8k | $1.8k | $18 | 1% | — | $1.8k – $1.9k |
← Payers reporting HCPCS V2629 · Snapshot 20261111T120946Z-9134e7f7