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
HC Resin-Based Composite 2 Surfaces Posterior (Restricted Jnpl)
Troy, NY
See all hospitals reporting HCPCS D2392 →Price type
Samaritan Hospital’s median price of $1.5k is 36% above the median hospital's median price ($1.1k), higher than 62% of the 590 hospitals reporting HCPCS D2392. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | Anthem empire medicaid facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 2 | Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 3 | Excellus empire medicaid facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 4 | Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient | $8 | $8 | — | — | — | $8 – $8 |
| 5 | Aetna aetna facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 6 | Medical Mutual aetna facility · fee schedule · outpatient | $18 | $18 | — | — | — | $18 – $18 |
| 7 | UnitedHealthcare united healthcare medicaid harp chip facility · fee schedule · outpatient | $371 | $371 | — | — | — | $371 – $371 |
| 8 | Anthem empire bcbs medicare advantage facility · other · outpatient | $791 | $791 | — | — | — | $791 – $791 |
| 9 | UnitedHealthcare united healthcare medicare advantage facility · other · outpatient | $822 | $822 | — | — | — | $822 – $822 |
| 10 | Aetna aetna medicare advantage facility · other · outpatient | $854 | $854 | — | — | — | $854 – $854 |
| 11 | WellCare wellcare medicare advantage facility · other · outpatient | $882 | $882 | — | — | — | $882 – $882 |
| 12 | Excellus blue shield of ne new york medicare adv facility · other · outpatient | $888 | $888 | — | — | — | $888 – $888 |
| 13 | Highmark blue shield of ne new york medicare adv facility · other · outpatient | $888 | $888 | — | — | — | $888 – $888 |
| 14 | UnitedHealthcare uhc essential plan medicaid facility · fee schedule · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 15 | WellCare wellcare ep 1&2 medicaid facility · other · outpatient | $1.3k | $1.3k | — | — | — | $1.3k – $1.3k |
| 16 | Anthem empire bcbs blue access facility · other · outpatient | $1.7k | $1.7k | — | — | — | $1.7k – $1.7k |
| 17 | Anthem empire bcbs hmo epo ppo indemnity facility · other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 18 | Blue Cross Blue Shield empire bcbs hmo epo ppo indemnity facility · other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 19 | UnitedHealthcare empire bcbs hmo epo ppo indemnity facility · other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 20 | Wellmark empire bcbs hmo epo ppo indemnity facility · other · outpatient | $1.9k | $1.9k | — | — | — | $1.9k – $1.9k |
| 21 | Cigna cigna facility · fee schedule · outpatient | $4.0k | $4.0k | — | — | — | $4.0k – $4.0k |
Last updated: Mar 31, 2026
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