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
Elyria, OH
See all hospitals reporting HCPCS V2103 →Price type
University Hospitals Health System’s median price of $48 is about the same as the median hospital's median price ($48), higher than 50% 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: 11 payers, 11 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 | Aetna medicare advantage facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 2 | Anthem medicare advantage facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 3 | Cigna medicare advantage facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 4 | Devoted medicare advantage facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 5 | Humana medicare advantage facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 6 | Medical Mutual medicare advantage facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 7 | Molina medicare advantage facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 8 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 9 | WellCare medicare advantage facility · fee schedule · outpatient | $48 | $48 | — | — | — | $48 – $48 |
| 10 | Ambetter commercial facility · fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
| 11 | Caresource marketplace facility · fee schedule · outpatient | $86 | $86 | — | — | — | $86 – $86 |
Last updated: Jul 14, 2026
See Single-vision eyeglass lens, plano to ±4.00 diopter sphere pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.