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
Single visn sphere 4.12-7.00
Chicago, IL
See all hospitals reporting HCPCS V2101 →Price type
Advocate Trinity Hospital’s median price of $103 is 59% above the median hospital's median price ($65), higher than 93% of the 734 hospitals reporting HCPCS V2101. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 5 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 | Ambetter medicare advantage case rate · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 2 | Molina medicare advantage case rate · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 3 | Oscar medicare advantage case rate · outpatient | $80 | $80 | — | — | — | $80 – $80 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $258 | $258 | $10 | 4% | — | $248 – $268 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $282 | $282 | — | — | — | $282 – $282 |
Last updated: Nov 4, 2025
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