Repair of a mouth laceration at Holy Name

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

REP.LACERAT.MOUTH >2.5CM COM

Teaneck, NJ

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Pricing by billing methodology

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How this price compares nationally

Holy Name’s median price of $657 is 15% below the median hospital's median price ($774), higher than 42% of the 1,772 hospitals reporting CPT 40831. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 40831 at Holy Name

Negotiated rates from the hospital’s own file: 9 payers, 20 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 medicaid facility · percent of total billed charges · outpatientfrom % of charges	$168	$168	—	—	—	$168 – $168
2	Aetna better health mcd/chip facility · percent of total billed charges · outpatientfrom % of charges	$176	$176	—	—	—	$176 – $176
3	Ambetter ambetter facility · percent of total billed charges · outpatientfrom % of charges	$263	$263	—	—	—	$263 – $263
4	Aetna whole health facility · fee schedule · outpatient	$424	$424	—	—	—	$424 – $424
5	Aetna medicare prime facility · fee schedule · outpatient	$540	$540	—	—	—	$540 – $540
6	Aetna golden medicare facility · fee schedule · outpatient	$600	$600	—	—	—	$600 – $600
7	Clover clover facility · fee schedule · outpatient	$600	$600	—	—	—	$600 – $600
8	UnitedHealthcare medicare facility · fee schedule · outpatient	$600	$600	—	—	—	$600 – $600
9	WellCare medicare facility · fee schedule · outpatient	$606	$606	—	—	—	$606 – $606
10	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$684	$684	—	—	—	$684 – $684
11	MultiPlan worker's comp facility · percent of total billed charges · outpatientfrom % of charges	$894	$894	—	—	—	$894 – $894
12	Aetna worker's comp facility · case rate · outpatient	$904	$904	—	—	—	$904 – $904
13	MultiPlan auto accident medical facility · percent of total billed charges · outpatientfrom % of charges	$947	$947	—	—	—	$947 – $947
14	Blue Cross Blue Shield indemnity facility · percent of total billed charges · outpatientfrom % of charges	$975	$975	—	—	—	$975 – $975
15	Blue Cross Blue Shield managed facility · percent of total billed charges · outpatientfrom % of charges	$975	$975	—	—	—	$975 – $975
16	Blue Cross Blue Shield ppo facility · percent of total billed charges · outpatientfrom % of charges	$975	$975	—	—	—	$975 – $975
17	Cigna hmo/pos facility · fee schedule · outpatient	$1.1k	$1.1k	—	—	—	$1.1k – $1.1k
18	Aetna qualified health plans facility · case rate · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	Aetna hmo/pos facility · case rate · outpatient	$2.5k	$2.5k	—	—	—	$2.5k – $2.5k
20	First Health first health facility · case rate · outpatient	$4.5k	$4.5k	—	—	—	$4.5k – $4.5k

Last updated: Nov 10, 2025

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