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
Singl visn sphere 7.12-20.00
Devils Lake, ND
See all hospitals reporting HCPCS V2102 →Price type
Altru Hospital Devils Lake’s median price of $95 is 20% above the median hospital's median price ($79), higher than 71% of the 733 hospitals reporting HCPCS V2102. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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 | Medica medicaid managed care plan facility · fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $32 | $32 | — | — | — | $32 – $32 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 7 | Aetna medicare managed care plan facility · fee schedule · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $130 | $130 | $19 | 15% | — | $111 – $149 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $135 | $135 | $36 | 26% | — | $100 – $171 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $186 | $186 | — | — | — | $186 – $186 |
Last updated: Mar 1, 2026
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