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/4.25-6d
Haven, FL
See all hospitals reporting HCPCS V2109 →Price type
Winter Haven Hospital’s median price of $76 is 7% above the median hospital's median price ($71), higher than 58% of the 730 hospitals reporting HCPCS V2109. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 10 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 | Humana commercial other facility · fee schedule · outpatient | $64 | $64 | — | — | — | $64 – $64 |
| 2 | Aetna medicare ppo facility · fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 3 | Blue Cross Blue Shield medicare hmo facility · fee schedule · outpatient | $66 | $66 | — | — | — | $66 – $66 |
| 4 | UnitedHealthcare medicare hmo facility · fee schedule · outpatient | $70 | $70 | — | — | — | $70 – $70 |
| 5 | Aetna medicare hmo facility · fee schedule · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 6 | Cigna medicare hmo facility · fee schedule · outpatient | $76 | $76 | — | — | — | $76 – $76 |
| 7 | Humana medicare hmo facility · fee schedule · outpatient | $82 | $82 | — | — | — | $82 – $82 |
| 8 | WellCare medicare hmo facility · fee schedule · outpatient | $92 | $92 | — | — | — | $92 – $92 |
| 9 | Ambetter commercial select core facility · fee schedule · outpatient | $148 | $148 | — | — | — | $148 – $148 |
| 10 | Ambetter commercial value facility · fee schedule · outpatient | $168 | $168 | — | — | — | $168 – $168 |
Last updated: Jan 1, 2026
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