ARTIFICIAL SALIVA at Westchester Medical Center

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.

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Original text from hospital filings

SALIVA SUBS ORL SPRAY 44.3ML

Valhalla, NY

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How this price compares nationally

Westchester Medical Center’s median price of $20 is 97% above the median hospital's median price ($10), higher than 82% of the 493 hospitals reporting HCPCS A9155. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A9155 at Westchester Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 17 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	Blue Cross Blue Shield blue cross connection/exchange facility · percent of total billed charges · outpatientfrom % of charges	$14	$14	—	—	—	$14 – $14
2	Blue Cross Blue Shield blue cross access facility · percent of total billed charges · outpatientfrom % of charges	$14	$14	—	—	—	$14 – $14
3	Blue Cross Blue Shield blue cross small group facility · percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
4	Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
5	Blue Cross Blue Shield blue cross commercial/healthy ny facility · percent of total billed charges · outpatientfrom % of charges	$18	$18	—	—	—	$18 – $18
6	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
7	Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges	$20	$20	—	—	—	$20 – $20
8	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
9	MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
10	UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
11	UnitedHealthcare uhc compass facility · percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
12	UnitedHealthcare uhc empire facility · percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
13	UnitedHealthcare uhc exchange facility · percent of total billed charges · outpatientfrom % of charges	$21	$21	—	—	—	$21 – $21
14	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$23	$23	—	—	—	$23 – $23
15	Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
16	Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
17	Tricare tricare facility · fee schedule · outpatient	$30	$30	—	—	—	$30 – $30

Last updated: Jul 28, 2026

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