Two-surface resin filling on front tooth 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.

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

RESIN TWO SURFACES-ANTERIOR

Valhalla, NY

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Pricing by billing methodology

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How this price compares nationally

Westchester Medical Center’s median price of $803 is 26% below the median hospital's median price ($1.1k), higher than 41% of the 589 hospitals reporting HCPCS D2331. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS D2331 at Westchester Medical Center

Negotiated rates from the hospital’s own file: 10 payers, 18 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	Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges	$117	$117	—	—	—	$117 – $117
2	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$129	$129	—	—	—	$129 – $129
3	Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges	$129	$129	—	—	—	$129 – $129
4	MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges	$139	$139	—	—	—	$139 – $139
5	UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges	$139	$139	—	—	—	$139 – $139
6	UnitedHealthcare uhc compass facility · percent of total billed charges · outpatientfrom % of charges	$139	$139	—	—	—	$139 – $139
7	UnitedHealthcare uhc empire facility · percent of total billed charges · outpatientfrom % of charges	$139	$139	—	—	—	$139 – $139
8	UnitedHealthcare uhc exchange facility · percent of total billed charges · outpatientfrom % of charges	$139	$139	—	—	—	$139 – $139
9	MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges	$149	$149	—	—	—	$149 – $149
10	Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges	$168	$168	—	—	—	$168 – $168
11	Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges	$168	$168	—	—	—	$168 – $168
12	Blue Cross Blue Shield blue cross medicare facility · fee schedule · outpatient	$2.4k	$2.4k	$1.6k	67%	—	$803 – $4.0k
13	Medicare medicare facility · fee schedule · outpatient	$2.4k	$2.4k	$1.6k	67%	—	$803 – $4.0k
14	UnitedHealthcare uhc medicare facility · fee schedule · outpatient	$2.4k	$2.4k	$1.6k	67%	—	$803 – $4.0k
15	Oscar oscar medicare facility · fee schedule · outpatient	$2.5k	$2.5k	$1.7k	67%	—	$827 – $4.1k
16	Molina affinity by molina mcr facility · fee schedule · outpatient	$2.5k	$2.5k	$1.7k	67%	—	$843 – $4.2k
17	Tricare tricare facility · fee schedule · outpatient	$3.5k	$3.5k	$2.7k	77%	—	$807 – $6.2k
18	WellCare wellcare exchange (mcr) facility · fee schedule · outpatient	$4.5k	$4.5k	$3.0k	67%	—	$1.5k – $7.4k

Last updated: Jul 28, 2026

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