Single vision eyeglass lens, high power at Proctor Community 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

Singl visn sphere 7.12-20.00

Peoria, IL

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How this price compares nationally

Proctor Community Hospital’s median price of $95 is 20% above the median hospital's median price ($79), higher than 68% of the 733 hospitals reporting HCPCS V2102. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS V2102 at Proctor Community Hospital

Negotiated rates from the hospital’s own file: 7 payers, 11 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 Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$77	$77	—	—	—	$77 – $77
2	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$77	$77	—	—	—	$77 – $77
3	Aetna medicare advantage case rate · outpatient	$95	$95	—	—	—	$95 – $95
4	Blue Cross Blue Shield medicare advantage case rate · outpatient	$95	$95	—	—	—	$95 – $95
5	Humana medicare advantage case rate · outpatient	$95	$95	—	—	—	$95 – $95
6	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$95	$95	—	—	—	$95 – $95
7	Molina medicare-medicaid (mmai/dual) case rate · outpatient	$95	$95	—	—	—	$95 – $95
8	UnitedHealthcare medicare advantage case rate · outpatient	$95	$95	—	—	—	$95 – $95
9	UnitedHealthcare va ccn case rate · outpatient	$95	$95	—	—	—	$95 – $95
10	WellCare medicare advantage hmo case rate · outpatient	$95	$95	—	—	—	$95 – $95
11	UnitedHealthcare ppo fee schedule · outpatient	$109	$109	—	—	—	$109 – $109

Last updated: Apr 15, 2026

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