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
SPLINT EXTRA-CORO
Valhalla, NY
See all hospitals reporting HCPCS D4323 →Price type
Westchester Medical Center’s median price of $173 is 87% below the median hospital's median price ($1.4k), higher than 3% of the 384 hospitals reporting HCPCS D4323. 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, 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Aetna aetna hp network facility · percent of total billed charges · outpatientfrom % of charges | $120 | $120 | — | — | — | $120 – $120 |
| 2 | Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges | $133 | $133 | — | — | — | $133 – $133 |
| 3 | Aetna aetna employee facility · percent of total billed charges · outpatientfrom % of charges | $133 | $133 | — | — | — | $133 – $133 |
| 4 | MultiPlan multiplan facility · percent of total billed charges · inpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 5 | UnitedHealthcare uhc commercial facility · percent of total billed charges · outpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 6 | UnitedHealthcare uhc compass facility · percent of total billed charges · outpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 7 | UnitedHealthcare uhc empire facility · percent of total billed charges · outpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 8 | UnitedHealthcare uhc exchange facility · percent of total billed charges · outpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 9 | MultiPlan multiplan facility · percent of total billed charges · outpatientfrom % of charges | $153 | $153 | — | — | — | $153 – $153 |
| 10 | Phcs phcs facility · percent of total billed charges · inpatientfrom % of charges | $173 | $173 | — | — | — | $173 – $173 |
| 11 | Phcs phcs facility · percent of total billed charges · outpatientfrom % of charges | $173 | $173 | — | — | — | $173 – $173 |
| 12 | Blue Cross Blue Shield blue cross medicare facility · fee schedule · outpatient | $803 | $803 | — | — | — | $803 – $803 |
| 13 | Medicare medicare facility · fee schedule · outpatient | $803 | $803 | — | — | — | $803 – $803 |
| 14 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $803 | $803 | — | — | — | $803 – $803 |
| 15 | Tricare tricare facility · fee schedule · outpatient | $807 | $807 | — | — | — | $807 – $807 |
| 16 | Oscar oscar medicare facility · fee schedule · outpatient | $827 | $827 | — | — | — | $827 – $827 |
| 17 | Molina affinity by molina mcr facility · fee schedule · outpatient | $843 | $843 | — | — | — | $843 – $843 |
| 18 | WellCare wellcare exchange (mcr) facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
Last updated: Jul 28, 2026
See Extra-coronal dental splint pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.