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CPT V2109

Spherocylinder 4.25d/4.25-6d

Reported by 28 hospitals in the network.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

National pricing summary

Low

$55

Average

$83

Median

$89

High

$144

Hospitals reporting this code

#HospitalLocation
1Virginia Mason Medical CenterSeattle, WA$46$66$99$234$60
2IHC Health Services Inc., DBA Intermountain Health Intermountain Medical CenterMurray, UT$60$61$90$172$45
3IHC Health Services Inc., DBA Intermountain Health Utah Valley HospitalProvo, UT$50$63$89$172$45
4IHC Health Services Inc., DBA Intermountain Health McKay-Dee HospitalOgden, UT$51$63$87$172$43
5IHC Health Services Inc., DBA Intermountain Health St George Regional HospitalSt. George, UT$58$61$67$144$19
6IHC Health Services Inc., DBA Intermountain Health LDS HospitalSalt Lake City, UT$58$64$90$172$44
7Scl Health - Montana, Dba Intermountain Health St. Vincent HealthcareBillings, MT$60$100$104$164$35
8Saint Joseph Hospital, Inc. Dba Intermountain Nhealth Saint Joseph HospitalDENVER, CO$59$91$94$155$38
9IHC Health Services Inc., DBA Intermountain Health Logan Regional HospitalLogan, UT$51$61$69$144$24
10St. Mary's Hospital & Medical Center, Inc. Dba Intermountain Health St. Mary's Regional HospitalJUNCTION, CO$60$85$75$88$14
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