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
Grayling, MI
See all hospitals reporting HCPCS V2103 →Price type
Munson Healthcare Grayling’s median price of $56 is 16% above the median hospital's median price ($48), higher than 73% 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, 12 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 | $22 | $22 | — | — | — | $22 – $22 |
| 2 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 3 | Molina managed medicaid facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 4 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $29 | $29 | — | — | — | $29 – $29 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $31 | $31 | — | — | — | $31 – $31 |
| 6 | Aetna commercial professional · fee schedule · both | $42 | $42 | — | — | — | $42 – $42 |
| 7 | Blue Cross Blue Shield commercial professional · fee schedule · both | $54 | $54 | — | — | — | $54 – $54 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 11 | WellCare medicare advantage facility · fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 12 | Molina medicare advantage facility · fee schedule · outpatient | $60 | $60 | — | — | — | $60 – $60 |
Last updated: Apr 17, 2026
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