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
Fabrication & fitting
Devils Lake, ND
See all hospitals reporting HCPCS V2628 →Price type
Altru Hospital Devils Lake’s median price of $500 is 19% above the median hospital's median price ($421), higher than 77% of the 805 hospitals reporting HCPCS V2628. 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 | $124 | $124 | — | — | — | $124 – $124 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $124 | $124 | — | — | — | $124 – $124 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $224 | $224 | — | — | — | $224 – $224 |
| 4 | Medica all commercial plans facility · fee schedule · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 5 | Aetna medicare managed care plan facility · fee schedule · outpatient | $497 | $497 | — | — | — | $497 – $497 |
| 6 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $500 | $500 | — | — | — | $500 – $500 |
| 7 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $500 | $500 | — | — | — | $500 – $500 |
| 8 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $679 | $679 | $99 | 15% | — | $580 – $779 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $708 | $708 | $186 | 26% | — | $521 – $894 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $972 | $972 | — | — | — | $972 – $972 |
Last updated: Mar 1, 2026
See Ocular conformer fabrication and fitting pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.