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 4.25d/4.25-6d
Chicago, IL
See all hospitals reporting HCPCS V2109 →Price type
Advocate Trinity Hospital’s median price of $152 is 116% above the median hospital's median price ($71), higher than 95% of the 730 hospitals reporting HCPCS V2109. 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 | $115 | $115 | — | — | — | $115 – $115 |
| 2 | Molina medicare advantage case rate · outpatient | $115 | $115 | — | — | — | $115 – $115 |
| 3 | Oscar medicare advantage case rate · outpatient | $119 | $119 | — | — | — | $119 – $119 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $383 | $383 | $15 | 4% | — | $368 – $398 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $418 | $418 | — | — | — | $418 – $418 |
Last updated: Nov 4, 2025
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