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
Arlington, TX
See all hospitals reporting HCPCS V2628 →Price type
AMH Cath Labs LLC’s median price of $484 is 15% above the median hospital's median price ($421), higher than 65% of the 801 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, 8 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 medicare advantage case rate · outpatient | $461 | $461 | — | — | — | $461 – $461 |
| 2 | Humana medicare advantage case rate · outpatient | $480 | $480 | — | — | — | $480 – $480 |
| 3 | Humana medicare advantage ppo case rate · outpatient | $480 | $480 | — | — | — | $480 – $480 |
| 4 | Molina medicare advantage case rate · outpatient | $484 | $484 | — | — | — | $484 – $484 |
| 5 | WellCare medicare advantage hmo case rate · outpatient | $484 | $484 | — | — | — | $484 – $484 |
| 6 | WellCare medicare advantage mmp case rate · outpatient | $507 | $507 | — | — | — | $507 – $507 |
| 7 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $512 | $512 | — | — | — | $512 – $512 |
| 8 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $521 | $521 | — | — | — | $521 – $521 |
Last updated: Apr 21, 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.