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
Boulder, CO
See all hospitals reporting HCPCS V2103 →Price type
Boulder Community Health’s median price of $56 is 17% above the median hospital's median price ($48), higher than 78% 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: 8 payers, 19 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 | UnitedHealthcare commercial professional · fee schedule · both | $31 | $31 | — | — | — | $31 – $31 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $43 | $43 | — | — | — | $43 – $43 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $46 | $46 | $5 | 11% | — | $41 – $52 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 5 | Anthem medicare advantage facility · case rate · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 6 | Humana medicare advantage professional · fee schedule · both | $52 | $52 | — | — | — | $52 – $52 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 8 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 9 | Kaiser medicare advantage facility · case rate · outpatient | $53 | $53 | $0 | 0% | — | $53 – $53 |
| 10 | Devoted medicare advantage facility · case rate · outpatient | $53 | $53 | — | — | — | $53 – $53 |
| 11 | Kaiser medicare advantage professional · fee schedule · both | $56 | $56 | — | — | — | $56 – $56 |
| 12 | Aetna commercial professional · fee schedule · both | $62 | $62 | $19 | 31% | — | $43 – $81 |
| 13 | Kaiser commercial professional · fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 14 | MultiPlan commercial professional · fee schedule · both | $79 | $79 | — | — | — | $79 – $79 |
| 15 | Phcs commercial professional · fee schedule · both | $79 | $79 | — | — | — | $79 – $79 |
| 16 | Anthem commercial professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 17 | Anthem managed care professional · fee schedule · both | $100 | $100 | — | — | — | $100 – $100 |
| 18 | Kaiser commercial facility · case rate · outpatient | $112 | $112 | $14 | 12% | — | $99 – $126 |
| 19 | Kaiser managed care facility · case rate · outpatient | $125 | $125 | — | — | — | $125 – $125 |
Last updated: Sep 16, 2026
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