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 4.25d/2.12-4d
Cedar Rapids, IA
See all hospitals reporting HCPCS V2108 →Price type
St Luke's Methodist Hospital’s median price of $56 is 14% below the median hospital's median price ($66), higher than 13% of the 731 hospitals reporting HCPCS V2108. 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, 17 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 hmo fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 2 | UnitedHealthcare ppo fee schedule · both | $27 | $27 | — | — | — | $27 – $27 |
| 3 | Wellmark commercial fee schedule · both | $48 | $48 | — | — | — | $48 – $48 |
| 4 | Wellmark hmo fee schedule · both | $48 | $48 | — | — | — | $48 – $48 |
| 5 | Wellmark ppo fee schedule · both | $48 | $48 | — | — | — | $48 – $48 |
| 6 | Aetna medicare advantage case rate · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 7 | Molina medicare advantage case rate · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 8 | Wellmark medicare advantage case rate · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 9 | Humana medicare advantage case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 11 | Aetna hmo fee schedule · both | $60 | $60 | — | — | — | $60 – $60 |
| 12 | Aetna ppo fee schedule · both | $60 | $60 | — | — | — | $60 – $60 |
| 13 | UnitedHealthcare hmo fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 14 | UnitedHealthcare ppo fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 15 | Aetna hmo fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 16 | Aetna ppo fee schedule · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 17 | Cigna commercial fee schedule · both | $102 | $102 | — | — | — | $102 – $102 |
Last updated: Jan 28, 2026
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