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
IOL TORIC ZCT400 23.5D*NLU*
Webster, SD
See all hospitals reporting HCPCS V2787 →Price type
Sanford Webster Hospital’s median price of $585 is about the same as the median hospital's median price ($585), higher than 50% of the 1,050 hospitals reporting HCPCS V2787. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 27 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 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $247 | $247 | — | — | — | $247 – $247 |
| 2 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 3 | Wellmark medicare replacement percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 4 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 5 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $268 | $268 | — | — | — | $268 – $268 |
| 6 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $432 | $432 | — | — | — | $432 – $432 |
| 7 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $432 | $432 | — | — | — | $432 – $432 |
| 8 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $492 | $492 | — | — | — | $492 – $492 |
| 9 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $492 | $492 | — | — | — | $492 – $492 |
| 10 | Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $508 | $508 | — | — | — | $508 – $508 |
| 11 | Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $508 | $508 | — | — | — | $508 – $508 |
| 12 | Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges | $579 | $579 | — | — | — | $579 – $579 |
| 13 | Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges | $579 | $579 | — | — | — | $579 – $579 |
| 14 | Medica choice percent of total billed charges · inpatientfrom % of charges | $650 | $650 | — | — | — | $650 – $650 |
| 15 | Medica choice percent of total billed charges · outpatientfrom % of charges | $650 | $650 | — | — | — | $650 – $650 |
| 16 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $658 | $658 | — | — | — | $658 – $658 |
| 17 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $658 | $658 | — | — | — | $658 – $658 |
| 18 | Wellmark ppo percent of total billed charges · outpatientfrom % of charges | $678 | $678 | — | — | — | $678 – $678 |
| 19 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $685 | $685 | — | — | — | $685 – $685 |
| 20 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $685 | $685 | — | — | — | $685 – $685 |
| 21 | Wellmark ppo percent of total billed charges · inpatientfrom % of charges | $686 | $686 | — | — | — | $686 – $686 |
| 22 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $692 | $692 | — | — | — | $692 – $692 |
| 23 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $692 | $692 | — | — | — | $692 – $692 |
| 24 | Medica elect percent of total billed charges · inpatientfrom % of charges | $695 | $695 | — | — | — | $695 – $695 |
| 25 | Medica elect percent of total billed charges · outpatientfrom % of charges | $695 | $695 | — | — | — | $695 – $695 |
Last updated: Mar 4, 2026
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