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
Boulder, CO
See all hospitals reporting HCPCS V2105 →Price type
Boulder Community Health’s median price of $55 is 5% below the median hospital's median price ($58), higher than 35% 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: 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 | $30 | $30 | — | — | — | $30 – $30 |
| 2 | Aetna medicare advantage professional · fee schedule · both | $42 | $42 | — | — | — | $42 – $42 |
| 3 | UnitedHealthcare medicare advantage professional · fee schedule · both | $45 | $45 | $5 | 11% | — | $40 – $50 |
| 4 | Aetna medicare advantage facility · case rate · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 5 | Anthem medicare advantage facility · case rate · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 6 | Humana medicare advantage professional · fee schedule · both | $50 | $50 | — | — | — | $50 – $50 |
| 7 | Humana medicare advantage facility · case rate · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 8 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $51 | $51 | — | — | — | $51 – $51 |
| 9 | Kaiser medicare advantage facility · case rate · outpatient | $51 | $51 | $0 | 1% | — | $51 – $52 |
| 10 | Devoted medicare advantage facility · case rate · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 11 | Kaiser medicare advantage professional · fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 12 | Aetna commercial professional · fee schedule · both | $60 | $60 | $18 | 31% | — | $42 – $79 |
| 13 | Kaiser commercial professional · fee schedule · both | $64 | $64 | — | — | — | $64 – $64 |
| 14 | MultiPlan commercial professional · fee schedule · both | $77 | $77 | — | — | — | $77 – $77 |
| 15 | Phcs commercial professional · fee schedule · both | $77 | $77 | — | — | — | $77 – $77 |
| 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 | $110 | $110 | $13 | 12% | — | $96 – $123 |
| 19 | Kaiser managed care facility · case rate · outpatient | $122 | $122 | — | — | — | $122 – $122 |
Last updated: Sep 16, 2026
See Single-vision spherocylinder eyeglass lens pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.