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
Clarion, PA
See all hospitals reporting HCPCS V2103 →Price type
Clarion Hospital’s median price of $58 is 20% above the median hospital's median price ($48), higher than 80% 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: 6 payers, 11 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 | Cigna commercial facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 2 | Tricare tricare facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 3 | UnitedHealthcare commercial facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 4 | UnitedHealthcare mcr advantage facility · fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 5 | Aetna mcr advantage facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 6 | Devoted mcr advantage facility · fee schedule · outpatient | $58 | $58 | — | — | — | $58 – $58 |
| 7 | Aetna auto network facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
| 8 | Highmark mcr advantage facility · fee schedule · outpatient | $54 | $77 | $32 | 42% | — | $54 – $122 |
| 9 | Highmark chip facility · fee schedule · outpatient | $90 | $90 | — | — | — | $90 – $90 |
| 10 | Aetna commercial facility · fee schedule · outpatient | $103 | $103 | — | — | — | $103 – $103 |
| 11 | Aetna hmo facility · fee schedule · outpatient | $125 | $125 | — | — | — | $125 – $125 |
Last updated: Jan 1, 2026
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