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
$96
Average
$221
Median
$208
High
$369
Each hospital's average Kaiser rate, under the methodology and billing class chosen below.
10 hospitals; the 90th percentile is 1.7× 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.
Filter by billing methodology
Filter by billing class
10 hospital rates
iThe hospitals that file a Kaiser 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 | Benefis Hospitals Inc Helena, MT percent of total billed charges · bothfrom % of charges | 1 | $369 | $369 | — | — | — | $369 – $369 |
| 2 | MedStar Franklin Square Medical Center Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 4 | $221 | $221 | — | — | — | $221 – $221 |
| 3 | MedStar Good Samaritan Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 4 | $273 | $273 | — | — | — | $273 – $273 |
| 4 | MedStar Harbor Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 4 | $181 | $181 | — | — | — | $181 – $181 |
| 5 | MedStar Montgomery Medical Center Olney, MD percent of total billed charges · outpatientfrom % of charges | 4 | $194 | $194 | — | — | — | $194 – $194 |
| 6 | MedStar Southern Hospital Center Clinton, MD percent of total billed charges · outpatientfrom % of charges | 4 | $255 | $255 | — | — | — | $255 – $255 |
| 7 | MedStar St. Mary's Hospital Leonardtown, MD percent of total billed charges · outpatientfrom % of charges | 4 | $261 | $261 | — | — | — | $261 – $261 |
| 8 | MedStar Union Memorial Hospital Baltimore, MD percent of total billed charges · outpatientfrom % of charges | 4 | $170 | $170 | — | — | — | $170 – $170 |
| 9 | MedStar Washington Hospital Center NW, WA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | — | — | — | $96 – $96 |
| 10 | Seattle Children's Hospital Seattle, WA facility · percent of total billed charges · bothfrom % of charges | 4 | $211 | $186 | $55 | 30% | — | $84 – $244 |
← Payers reporting HCPCS V2629 · Snapshot 20261111T120946Z-9134e7f7