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
CONFORMER, LARGE, W/HOLES
Elyria, OH
See all hospitals reporting HCPCS V2628 →Price type
University Hospitals Health System’s median price of $156 is 63% below the median hospital's median price ($421), higher than 6% of the 805 hospitals reporting HCPCS V2628. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 36 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 commercial facility · percent of total billed charges · inpatientfrom % of charges | $79 | $79 | — | — | — | $79 – $79 |
| 2 | UnitedHealthcare nexus commercial facility · percent of total billed charges · inpatientfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 3 | Anthem commercial facility · percent of total billed charges · inpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 4 | Anthem commercial facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 5 | Anthem traditional commercial facility · percent of total billed charges · inpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 6 | Anthem traditional commercial facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 7 | Medical Mutual medflex commercial facility · percent of total billed charges · inpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 8 | Medical Mutual medflex commercial facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 9 | Medical Mutual nas commercial facility · percent of total billed charges · inpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 10 | Medical Mutual nas commercial facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 11 | Medical Mutual supermed hmo facility · percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 12 | Medical Mutual northern ohio commercial facility · percent of total billed charges · outpatientfrom % of charges | $86 | $86 | — | — | — | $86 – $86 |
| 13 | Medical Mutual supermed ppo facility · percent of total billed charges · outpatientfrom % of charges | $87 | $87 | — | — | — | $87 – $87 |
| 14 | Aetna commercial facility · percent of total billed charges · inpatientfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
| 15 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $89 | $89 | — | — | — | $89 – $89 |
| 16 | Medical Mutual northern ohio commercial facility · percent of total billed charges · inpatientfrom % of charges | $119 | $119 | — | — | — | $119 – $119 |
| 17 | Cigna oap commercial facility · percent of total billed charges · inpatientfrom % of charges | $125 | $125 | — | — | — | $125 – $125 |
| 18 | Cigna ppo commercial facility · percent of total billed charges · inpatientfrom % of charges | $133 | $133 | — | — | — | $133 – $133 |
| 19 | Cigna ppo commercial facility · percent of total billed charges · outpatientfrom % of charges | $133 | $133 | — | — | — | $133 – $133 |
| 20 | Medical Mutual hmo facility · percent of total billed charges · inpatientfrom % of charges | $168 | $168 | — | — | — | $168 – $168 |
| 21 | Medical Mutual hmo facility · percent of total billed charges · outpatientfrom % of charges | $168 | $168 | — | — | — | $168 – $168 |
| 22 | First Health commercial facility · percent of total billed charges · inpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 23 | First Health commercial facility · percent of total billed charges · outpatientfrom % of charges | $199 | $199 | — | — | — | $199 – $199 |
| 24 | MultiPlan commercial facility · percent of total billed charges · inpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
| 25 | MultiPlan commercial facility · percent of total billed charges · outpatientfrom % of charges | $216 | $216 | — | — | — | $216 – $216 |
Last updated: Jul 14, 2026
See Ocular conformer fabrication and fitting pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.