Composite resin filling, two surfaces, 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 - Two Surfaces Posterior

Utica, NY

See all hospitals reporting HCPCS D2392 →

SharePost on X LinkedIn

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 590 hospitals reporting HCPCS D2392. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS D2392 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.

Filter by billing methodology

Filter by billing class

#
1	Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges	$58	$58	—	—	—	$58 – $58
2	UnitedHealthcare uhc empire plan percent of total billed charges · bothfrom % of charges	$88	$88	—	—	—	$88 – $88
3	Aetna aetna commercial percent of total billed charges · bothfrom % of charges	$131	$131	—	—	—	$131 – $131
4	Humana humana hmo/pos percent of total billed charges · inpatientfrom % of charges	$143	$143	—	—	—	$143 – $143
5	Bcbs Ny excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$150	$150	—	—	—	$150 – $150
6	Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$150	$150	—	—	—	$150 – $150
7	Excellus excellus bcbs hmo/ppo percent of total billed charges · bothfrom % of charges	$150	$150	—	—	—	$150 – $150
8	Excellus excellus bcbs indemnity percent of total billed charges · bothfrom % of charges	$150	$150	—	—	—	$150 – $150
9	Cigna mvp and cigna commercial percent of total billed charges · inpatientfrom % of charges	$156	$156	—	—	—	$156 – $156
10	Humana humana hmo/pos percent of total billed charges · outpatientfrom % of charges	$165	$165	—	—	—	$165 – $165
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

Compare to other hospitals

See Composite resin filling, two surfaces, back tooth pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.