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
Spherocylindr 4.00d/12-2.00d
Bangor, ME
See all hospitals reporting HCPCS V2103 →Price type
Acadia Hospital’s median price of $41 is 14% below the median hospital's median price ($48), higher than 11% of the 734 hospitals reporting HCPCS V2103. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 7 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 | Aetna commercial professional · fee schedule · outpatient | $23 | $23 | — | — | — | $23 – $23 |
| 2 | Anthem mcr advantage facility · fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 3 | Aetna mcr advantage facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 4 | Optum mcr advantage facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 5 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 6 | WellCare mcr advantage facility · fee schedule · outpatient | $42 | $42 | — | — | — | $42 – $42 |
| 7 | UnitedHealthcare commercial professional · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
Last updated: Mar 30, 2026
See Single-vision eyeglass lens, plano to ±4.00 diopter sphere pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.