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
Fabrication & fitting
Haven, FL
See all hospitals reporting HCPCS V2628 →Price type
Winter Haven Hospital’s median price of $452 is 7% above the median hospital's median price ($421), higher than 55% 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: 7 payers, 10 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 | Humana commercial other facility · fee schedule · outpatient | $381 | $381 | — | — | — | $381 – $381 |
| 2 | Aetna medicare ppo facility · fee schedule · outpatient | $393 | $393 | — | — | — | $393 – $393 |
| 3 | Blue Cross Blue Shield medicare hmo facility · fee schedule · outpatient | $393 | $393 | — | — | — | $393 – $393 |
| 4 | UnitedHealthcare medicare hmo facility · fee schedule · outpatient | $421 | $421 | — | — | — | $421 – $421 |
| 5 | Aetna medicare hmo facility · fee schedule · outpatient | $452 | $452 | — | — | — | $452 – $452 |
| 6 | Cigna medicare hmo facility · fee schedule · outpatient | $452 | $452 | — | — | — | $452 – $452 |
| 7 | Humana medicare hmo facility · fee schedule · outpatient | $491 | $491 | — | — | — | $491 – $491 |
| 8 | WellCare medicare hmo facility · fee schedule · outpatient | $550 | $550 | — | — | — | $550 – $550 |
| 9 | Ambetter commercial select core facility · fee schedule · outpatient | $884 | $884 | — | — | — | $884 – $884 |
| 10 | Ambetter commercial value facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
Last updated: Jan 1, 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.