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
Glass/plastic slab off prism
Devils Lake, ND
See all hospitals reporting HCPCS V2710 →Price type
Altru Hospital Devils Lake’s median price of $95 is about the same as the median hospital's median price ($94), higher than 51% of the 717 hospitals reporting HCPCS V2710. 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 | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $30 | $30 | — | — | — | $30 – $30 |
| 3 | Medica medicare managed care plan facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 4 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 5 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 6 | Medica all commercial plans facility · fee schedule · outpatient | $88 | $88 | — | — | — | $88 – $88 |
| 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 | $129 | $129 | $19 | 15% | — | $111 – $148 |
| 9 | Aetna all commercial plans facility · fee schedule · outpatient | $135 | $135 | $36 | 26% | — | $99 – $170 |
| 10 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $185 | $185 | — | — | — | $185 – $185 |
Last updated: Mar 1, 2026
See Glass or plastic prism lens, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.