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

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

Spokane, WA

See all hospitals reporting HCPCS V2103 →

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Pricing by billing methodology

Price type

How this price compares nationally

MultiCare Deaconess Hospital’s median price of $62 is 30% above the median hospital's median price ($48), higher than 84% 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 Deaconess Hospital

Negotiated rates from the hospital’s own file: 10 payers, 14 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	Aetna medadvantage fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
2	Bcbs Id medadvantage fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
3	Regence medadvantage fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
4	UnitedHealthcare medadvantage fee schedule · outpatient	$53	$53	—	—	—	$53 – $53
5	Molina medadvantage fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
6	WellCare medadvantage fee schedule · outpatient	$54	$54	—	—	—	$54 – $54
7	Premera other commercial plans fee schedule · outpatient	$62	$62	—	—	—	$62 – $62
8	Premera prime fee schedule · outpatient	$62	$62	—	—	—	$62 – $62
9	Premera signature fee schedule · outpatient	$62	$62	—	—	—	$62 – $62
10	Cigna commercial fee schedule · outpatient	$71	$71	—	—	—	$71 – $71
11	Premera hmo fee schedule · outpatient	$78	$78	—	—	—	$78 – $78
12	Ambetter coordinated care exchange fee schedule · outpatient	$94	$94	—	—	—	$94 – $94
13	Aetna all commercial plans fee schedule · outpatient	$158	$158	—	—	—	$158 – $158
14	Kaiser ppo fee schedule · outpatient	$217	$217	—	—	—	$217 – $217

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.