Single-vision eyeglass lens, plano to ±4.00 diopter sphere at MultiCare Covington 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

Covington, WA

See all hospitals reporting HCPCS V2103 →

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Pricing by billing methodology

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How this price compares nationally

MultiCare Covington Medical Center’s median price of $55 is 15% above the median hospital's median price ($48), higher than 71% 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 MultiCare Covington Medical Center

Negotiated rates from the hospital’s own file: 9 payers, 17 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	Regence blue high performance fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
2	Regence mcc/ahn fee schedule · outpatient	$44	$44	—	—	—	$44 – $44
3	Regence realvalue fee schedule · outpatient	$45	$45	—	—	—	$45 – $45
4	Regence commercial fee schedule · outpatient	$50	$50	—	—	—	$50 – $50
5	Aetna medadvantage fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
6	Regence medadvantage fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
7	UnitedHealthcare medadvantage fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
8	Molina medadvantage fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
9	WellCare medadvantage fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
10	Aetna all commercial plans fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
11	Cigna all commercial plans fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
12	Premera hmo fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
13	Premera prime fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
14	Premera signature fee schedule · outpatient	$90	$90	—	—	—	$90 – $90
15	Ambetter coordinated care exchange fee schedule · outpatient	$102	$102	—	—	—	$102 – $102
16	Premera other commercial plans fee schedule · outpatient	$110	$110	—	—	—	$110 – $110
17	Kaiser ppo fee schedule · outpatient	$225	$225	—	—	—	$225 – $225

Last updated: Aug 27, 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.