Vaginal irrigation or medication for infection

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

Irrigation/Appl Medicment Vagina

Payers reporting CPT 57150

Payer pricing summary

Low

$31

Average

$502

Median

$153

High

$6.8k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +29 other terms	460	$64	$854	$2.9k	339%	—	$20 – $33.6k
2	UnitedHealthcare fee schedule · outpatient · +31 other terms	450	$71	$734	$1.6k	220%	—	$1 – $17.9k
3	Blue Cross Blue Shield fee schedule · outpatient · +26 other terms	357	$119	$484	$1.3k	259%	—	$1 – $14.4k
4	Humana fee schedule · outpatient · +23 other terms	330	$61	$282	$1.0k	372%	—	$19 – $12.8k
5	Cigna case rate · outpatient · +26 other terms	250	$1.8k	$4.6k	$7.3k	160%	—	$0 – $40.7k
6	WellCare fee schedule · outpatient · +17 other terms	168	$62	$154	$564	366%	—	$23 – $4.2k
7	Molina fee schedule · outpatient · +20 other terms	163	$62	$85	$73	86%	—	$19 – $679
8	Oscar case rate · outpatient · +18 other terms	130	$2.5k	$2.6k	$856	33%	—	$93 – $7.5k
9	Anthem fee schedule · outpatient · +21 other terms	125	$74	$159	$578	363%	—	$24 – $6.3k
10	Kaiser fee schedule · outpatient · +19 other terms	97	$78	$215	$664	309%	—	$6 – $4.2k
11	Ambetter facility · fee schedule · outpatient · +11 other terms	73	$105	$309	$1.2k	396%	—	$27 – $8.1k
12	Devoted fee schedule · outpatient · +10 other terms	70	$60	$57	$12	21%	—	$24 – $67
13	Optum fee schedule · outpatient · +18 other terms	58	$54	$62	$40	65%	—	$23 – $218
14	Healthcare Highways case rate · outpatient · +1 other terms	42	$5.8k	$6.8k	$5.0k	74%	—	$2.1k – $14.6k
15	Superior Healthplan case rate · outpatient · +4 other terms	38	$948	$917	$148	16%	—	$89 – $948
16	Bcbs Tx fee schedule · outpatient · +3 other terms	33	$80	$84	$35	42%	—	$43 – $228
17	Clover fee schedule · outpatient · +9 other terms	32	$66	$627	$1.4k	221%	—	$53 – $4.3k
18	MultiPlan fee schedule · outpatient · +17 other terms	30	$98	$102	$24	24%	—	$29 – $205
19	Caresource facility · fee schedule · outpatient · +11 other terms	29	$91	$439	$1.5k	349%	—	$28 – $7.9k
20	Tricare fee schedule · outpatient · +12 other terms	29	$88	$778	$1.7k	223%	—	$54 – $5.0k
21	Medica case rate · outpatient · +12 other terms	28	$819	$1.0k	$727	73%	—	$56 – $2.9k
22	Regence professional · fee schedule · outpatient · +12 other terms	27	$41	$67	$46	69%	—	$10 – $184
23	Baylor Scott White Health Plan facility · fee schedule · outpatient · +1 other terms	25	$75	$75	$15	20%	—	$56 – $98
24	Bcbs La fee schedule · outpatient · +1 other terms	25	$52	$77	$75	98%	—	$31 – $332
25	Medicare fee schedule · outpatient · +12 other terms	25	$24	$648	$1.4k	214%	—	$23 – $4.1k

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