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
Chicago, IL
See all hospitals reporting HCPCS V2103 →Price type
Advocate Trinity Hospital’s median price of $90 is 88% above the median hospital's median price ($48), higher than 95% of the 730 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: 4 payers, 5 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 | Ambetter medicare advantage case rate · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 2 | Molina medicare advantage case rate · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 3 | Oscar medicare advantage case rate · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $228 | $228 | $9 | 4% | — | $219 – $237 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $249 | $249 | — | — | — | $249 – $249 |
Last updated: Nov 4, 2025
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