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
Grayling, MI
See all hospitals reporting HCPCS V2105 →Price type
Munson Healthcare Grayling’s median price of $67 is 16% above the median hospital's median price ($58), higher than 74% 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: 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 | $28 | $28 | — | — | — | $28 – $28 |
| 2 | Blue Cross Blue Shield managed medicaid facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 3 | Molina managed medicaid facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 4 | UnitedHealthcare managed medicaid facility · fee schedule · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 5 | UnitedHealthcare medicare advantage professional · fee schedule · both | $37 | $37 | — | — | — | $37 – $37 |
| 6 | Aetna commercial professional · fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 7 | Blue Cross Blue Shield commercial professional · fee schedule · both | $66 | $66 | — | — | — | $66 – $66 |
| 8 | Aetna medicare advantage facility · fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 9 | Humana medicare advantage facility · fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 10 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 11 | WellCare medicare advantage facility · fee schedule · outpatient | $67 | $67 | — | — | — | $67 – $67 |
| 12 | Molina medicare advantage facility · fee schedule · outpatient | $72 | $72 | — | — | — | $72 – $72 |
Last updated: Apr 17, 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.