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-Spherocylinder 4.25d/4.25-6d
Prices here combine facility and professional fees. See them separately →Experimental
Low
$32
Average
$56
Median
$37
High
$119
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 3.0× 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 | $127 | $119 | $27 | 23% | — | $43 – $143 |
| 3 | Covenant Medical Center Inc Saginaw, MI | $28 | $32 | $8 | 25% | — | $23 – $45 |
| 4 | Covenant Medical Center Inc Saginaw, MI | $28 | $32 | $8 | 25% | — | $23 – $45 |
| 5 | Memorial Hospital of Laramie County Cheyenne, WY | $58 | $59 | $2 | 3% | — | $58 – $63 |
Ask Claude or any MCP client for HCPCS V2109 pricing at a specific hospital — see how to connect.