Composite resin filling, one surface, back tooth at MVHS, Inc.

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

HC Resin-Based Composite - One Surface Posterior

Utica, NY

See all hospitals reporting HCPCS D2391 →

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Pricing by billing methodology

Price type

How this price compares nationally

MVHS, Inc.’s median price of $807 is 25% below the median hospital's median price ($1.1k), higher than 42% of the 592 hospitals reporting HCPCS D2391. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS D2391 at MVHS, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 21 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	Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges	$44	$44	—	—	—	$44 – $44
2	UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges	$66	$66	—	—	—	$66 – $66
3	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$98	$98	—	—	—	$98 – $98
4	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$107	$107	—	—	—	$107 – $107
5	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$112	$112	—	—	—	$112 – $112
6	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$112	$112	—	—	—	$112 – $112
7	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$112	$112	—	—	—	$112 – $112
8	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$112	$112	—	—	—	$112 – $112
9	Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
10	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$124	$124	—	—	—	$124 – $124
11	Excellus excellus bcbs medicare advantage other · outpatient	$807	$807	—	—	—	$807 – $807
12	Humana humana medicare advantage other · outpatient	$807	$807	—	—	—	$807 – $807
13	Medicare medicare other · outpatient	$807	$807	—	—	—	$807 – $807
14	Optum vaccn optum other · outpatient	$807	$807	—	—	—	$807 – $807
15	UnitedHealthcare uhc medicare advantage other · outpatient	$815	$815	—	—	—	$815 – $815
16	Aetna aetna medicare advantage other · outpatient	$823	$823	—	—	—	$823 – $823
17	WellCare wellcare medicare advantage other · outpatient	$831	$831	—	—	—	$831 – $831
18	Humana humana military other · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
19	Tricare humana military other · outpatient	$1.9k	$1.9k	—	—	—	$1.9k – $1.9k
20	Cigna mvp and cigna commercial other · outpatient	$2.3k	$2.3k	—	—	—	$2.3k – $2.3k
21	UnitedHealthcare uhc commercial case rate · inpatient	$2.6k	$2.6k	—	—	—	$2.6k – $2.6k

Last updated: Aug 7, 2026

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