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
Bartow, FL
See all hospitals reporting HCPCS V2103 →Price type
Bartow Regional Medical Center’s median price of $47 is 2% below the median hospital's median price ($48), higher than 45% 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: 7 payers, 10 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 | Humana commercial other facility · fee schedule · outpatient | $40 | $40 | — | — | — | $40 – $40 |
| 2 | Aetna medicare ppo facility · fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 3 | Blue Cross Blue Shield medicare hmo facility · fee schedule · outpatient | $41 | $41 | — | — | — | $41 – $41 |
| 4 | UnitedHealthcare medicare hmo facility · fee schedule · outpatient | $44 | $44 | — | — | — | $44 – $44 |
| 5 | Aetna medicare hmo facility · fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 6 | Cigna medicare hmo facility · fee schedule · outpatient | $47 | $47 | — | — | — | $47 – $47 |
| 7 | Humana medicare hmo facility · fee schedule · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 8 | WellCare medicare hmo facility · fee schedule · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 9 | Ambetter commercial select core facility · fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 10 | Ambetter commercial value facility · fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
Last updated: Jan 1, 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.