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
Edmonds, WA
See all hospitals reporting HCPCS V2103 →Price type
Swedish Edmonds’s median price of $63 is 30% above the median hospital's median price ($48), higher than 85% of the 730 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, 9 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 | Kaiser medicare managed care plan fee schedule · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 2 | Aetna medicare managed care - hmo fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 3 | Aetna medicare managed care - ppo fee schedule · outpatient | $54 | $54 | — | — | — | $54 – $54 |
| 4 | UnitedHealthcare medicare managed care plan fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 5 | Humana choice care medicare managed care plan fee schedule · outpatient | $55 | $55 | — | — | — | $55 – $55 |
| 6 | Blue Cross Blue Shield regence medicare managed care plan fee schedule · outpatient | $56 | $56 | — | — | — | $56 – $56 |
| 7 | Cigna medicare managed care plan fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 8 | Kaiser all commercial plans fee schedule · outpatient | $78 | $78 | — | — | — | $78 – $78 |
| 9 | Blue Cross Blue Shield premera lifewise exchange fee schedule · outpatient | $94 | $94 | — | — | — | $94 – $94 |
Last updated: Apr 1, 2026
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