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HCPCS V2103

Spherocylindr 4.00d/12-2.00d

Reported by 410 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

$1

Average

$59

Median

$53

High

$242

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1The Finley HospitalDubuque, IA$43$59$44—$20$199
2Northwest Iowa Hospital CorporationSioux City, IA$43$47$16—$20$82
3St Luke'sJones Regional Medical CenterAnamosa, IA$39$44$20—$20$82
4Medical Ctiy ArgyleArgyle, TX$49$55$27—$43$252
5Medical City AllianceSAGINAW, TX$49$53$27—$43$252
6St Luke's Methodist HospitalCedar Rapids, IA$43$49$18—$20$82
7Trinity Medical CenterRock Island, IL$49$70$47—$20$199
8Trinity Medical CenterBettendorf, IA$43$49$17—$20$82
9Unity HealthcareMuscatine, IA$57$67$42—$20$199
10Trinity Regional Medical CenterFort Dodge, IA$56$53$19—$20$82
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