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
Glass/plastic slab off prism
Cedar Rapids, IA
See all hospitals reporting HCPCS V2710 →Price type
St Luke's Methodist Hospital’s median price of $95 is 1% above the median hospital's median price ($94), higher than 54% of the 717 hospitals reporting HCPCS V2710. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 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 | UnitedHealthcare hmo fee schedule · both | $45 | $45 | — | — | — | $45 – $45 |
| 2 | UnitedHealthcare ppo fee schedule · both | $45 | $45 | — | — | — | $45 – $45 |
| 3 | Wellmark commercial fee schedule · both | $82 | $82 | — | — | — | $82 – $82 |
| 4 | Wellmark hmo fee schedule · both | $82 | $82 | — | — | — | $82 – $82 |
| 5 | Wellmark ppo fee schedule · both | $82 | $82 | — | — | — | $82 – $82 |
| 6 | Aetna medicare advantage case rate · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 7 | Molina medicare advantage case rate · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 8 | Wellmark medicare advantage case rate · outpatient | $93 | $93 | — | — | — | $93 – $93 |
| 9 | Humana medicare advantage case rate · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $95 | $95 | — | — | — | $95 – $95 |
| 11 | Aetna hmo fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 12 | Aetna ppo fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
| 13 | UnitedHealthcare hmo fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 14 | UnitedHealthcare ppo fee schedule · outpatient | $123 | $123 | — | — | — | $123 – $123 |
| 15 | Aetna hmo fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
| 16 | Aetna ppo fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
| 17 | Cigna commercial fee schedule · both | $173 | $173 | — | — | — | $173 – $173 |
Last updated: Jan 28, 2026
See Glass or plastic prism lens, per lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.