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
Pc-Spherocylindr 4.00d/2.12-4d
Prices here combine facility and professional fees. See them separately →Experimental
Low
$20
Average
$39
Median
$37
High
$72
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 5 hospitals; the 90th percentile is 3.1× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | University Of Michigan Health Ann Arbor, MI | $38 | $37 | $7 | 19% | — | $24 – $55 |
| 2 | La Porte Hospital Company LLC La Porte, IN | $78 | $72 | $17 | 23% | — | $26 – $87 |
| 3 | Covenant Medical Center Inc Saginaw, MI | $17 | $20 | $5 | 25% | — | $14 – $28 |
| 4 | Covenant Medical Center Inc Saginaw, MI | $17 | $20 | $5 | 25% | — | $14 – $28 |
| 5 | Memorial Hospital of Laramie County Cheyenne, WY | $44 | $45 | $1 | 3% | — | $44 – $48 |
Ask Claude or any MCP client for HCPCS V2104 pricing at a specific hospital — see how to connect.