Single-vision eyeglass lens, plano to ±4.00 diopter sphere at Carle BroMenn Medical Center

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Spherocylindr 4.00d/12-2.00d

Normal, IL

See all hospitals reporting HCPCS V2103 →

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Pricing by billing methodology

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How this price compares nationally

Carle BroMenn Medical Center’s median price of $48 is about the same as the median hospital's median price ($48), higher than 50% of the 734 hospitals reporting HCPCS V2103. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2103 at Carle BroMenn Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 11 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	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$38	$38	—	—	—	$38 – $38
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$39	$39	—	—	—	$39 – $39
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
5	Aetna medicare advantage case rate · outpatient	$48	$48	—	—	—	$48 – $48
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$48	$48	—	—	—	$48 – $48
7	Humana medicare advantage case rate · outpatient	$48	$48	—	—	—	$48 – $48
8	Molina medicare-medicaid (d-snp) case rate · outpatient	$48	$48	—	—	—	$48 – $48
9	UnitedHealthcare medicare advantage case rate · outpatient	$48	$48	—	—	—	$48 – $48
10	UnitedHealthcare va ccn/optum case rate · outpatient	$48	$48	—	—	—	$48 – $48
11	WellCare medicare advantage hmo case rate · outpatient	$48	$48	—	—	—	$48 – $48

Last updated: Apr 15, 2026

Compare to other hospitals

See Single-vision eyeglass lens, plano to ±4.00 diopter sphere pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.