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
PMMA SP 5.5 OPTIC 12.5 165 DIO (MTA3U0.165 113242)
COLUMBIA, SC
See all hospitals reporting HCPCS V2630 →Price type
Prisma Health Richland Hospital’s median price of $324 is 93% above the median hospital's median price ($168), higher than 75% of the 1,267 hospitals reporting HCPCS V2630. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Last updated: Mar 1, 2026
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