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
Dubuque, IA
See all hospitals reporting HCPCS V2105 →Price type
The Finley Hospital’s median price of $52 is 10% below the median hospital's median price ($58), higher than 21% 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, 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | UnitedHealthcare hmo fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 2 | UnitedHealthcare ppo fee schedule · both | $25 | $25 | — | — | — | $25 – $25 |
| 3 | Wellmark commercial fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 4 | Wellmark hmo fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 5 | Wellmark ppo fee schedule · both | $44 | $44 | — | — | — | $44 – $44 |
| 6 | Aetna hmo fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 7 | Aetna ppo fee schedule · outpatient | $49 | $49 | — | — | — | $49 – $49 |
| 8 | Aetna medicare advantage case rate · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 9 | Molina medicare advantage case rate · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 10 | Wellmark medicare advantage case rate · outpatient | $50 | $50 | — | — | — | $50 – $50 |
| 11 | Humana medicare advantage case rate · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 12 | UnitedHealthcare medicare advantage case rate · outpatient | $52 | $52 | — | — | — | $52 – $52 |
| 13 | Aetna hmo fee schedule · both | $55 | $55 | — | — | — | $55 – $55 |
| 14 | Aetna ppo fee schedule · both | $55 | $55 | — | — | — | $55 – $55 |
| 15 | UnitedHealthcare hmo fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 16 | UnitedHealthcare ppo fee schedule · outpatient | $79 | $79 | — | — | — | $79 – $79 |
| 17 | Cigna commercial fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
Last updated: Jan 28, 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.