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
Spherocylinder 4.00d/4.25-6d
Chicago, IL
See all hospitals reporting HCPCS V2105 →Price type
Advocate Trinity Hospital’s median price of $111 is 92% above the median hospital's median price ($58), higher than 95% of the 731 hospitals reporting HCPCS V2105. 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 | $84 | $84 | — | — | — | $84 – $84 |
| 2 | Molina medicare advantage case rate · outpatient | $84 | $84 | — | — | — | $84 – $84 |
| 3 | Oscar medicare advantage case rate · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $279 | $279 | $11 | 4% | — | $268 – $290 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $306 | $306 | — | — | — | $306 – $306 |
Last updated: Nov 4, 2025
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