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.
Original text from hospital filings
1199280 - INTRAOCULAR ACRYSOF 10 D 20.0 D MOD C BCNVX L13 MM OD6.5 MM
Park Ridge, IL
See all hospitals reporting HCPCS V2632 →Price type
Advocate Lutheran General Hospital’s median price of $238 is 13% below the median hospital's median price ($274), higher than 45% of the 1,552 hospitals reporting HCPCS V2632. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 15 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed care percent of total billed charges · outpatientfrom % of charges | $234.63 | $206.04 | $141.72 – $234.63 |
| 2 | Ambetter medicare advantage case rate · outpatient | $207.16 | $207.16 | $207.16 – $207.16 |
| 3 | Molina medicare advantage case rate · outpatient | $207.16 | $207.16 | $207.16 – $207.16 |
| 4 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $238.41 | $209.36 | $144.00 – $238.41 |
| 5 | Blue Cross Blue Shield commercial percent of total billed charges · outpatientfrom % of charges | $233.01 | $212.91 | $140.75 – $251.89 |
| 6 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $194.18 | $212.99 | $113.70 – $321.47 |
| 7 | Oscar medicare advantage case rate · outpatient | $214.31 | $214.31 | $214.31 – $214.31 |
| 8 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $264.84 | $232.57 | $159.97 – $264.84 |
| 9 | Cigna commercial percent of total billed charges · inpatientfrom % of charges | $269.69 | $241.57 | $162.90 – $280.48 |
| 10 | Cigna commercial percent of total billed charges · outpatientfrom % of charges | $269.69 | $241.57 | $162.90 – $280.48 |
| 11 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $285.71 | $250.90 | $172.58 – $285.71 |
| 12 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $285.71 | $250.90 | $172.58 – $285.71 |
| 13 | UnitedHealthcare hmo percent of total billed charges · outpatientfrom % of charges | $372.17 | $326.83 | $224.80 – $372.17 |
| 14 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $431.50 | $378.93 | $260.64 – $431.50 |
| 15 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $431.50 | $378.93 | $260.64 – $431.50 |
Last updated: Nov 4, 2025
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