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
SPHERE EYE 14MM SILICONE CONFORMER SOFT
FLINT, MI
See all hospitals reporting HCPCS V2628 →Price type
Mclaren Flint’s median price of $356 is 15% below the median hospital's median price ($421), higher than 15% 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: 4 payers, 5 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 | Molina medicaid - molina fee schedule | $206 | $206 | — | — | — | $206 – $206 |
| 2 | Tricare tricare fee schedule | $348 | $348 | — | — | — | $348 – $348 |
| 3 | Humana medicare - humana fee schedule | $356 | $356 | — | — | — | $356 – $356 |
| 4 | Molina medicare - molina fee schedule | $363 | $363 | — | — | — | $363 – $363 |
| 5 | Blue Cross Blue Shield blue cross blue shield fee schedule | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
Last updated: Dec 31, 2025
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.