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
Cleveland, OH
See all hospitals reporting HCPCS V2628 →Price type
Metrohealth System’s median price of $410 is 3% below the median hospital's median price ($421), higher than 43% 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: 3 payers, 4 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 | Medical Mutual cle-care hmo facility · fee schedule · outpatient | $203 | $203 | — | — | — | $203 – $203 |
| 2 | Medical Mutual all commercial plans facility · fee schedule · outpatient | $270 | $270 | — | — | — | $270 – $270 |
| 3 | Caresource exchange facility · fee schedule · outpatient | $521 | $521 | — | — | — | $521 – $521 |
| 4 | Aetna cvs exchange facility · fee schedule · outpatient | $596 | $596 | — | — | — | $596 – $596 |
Last updated: Apr 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.