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 Diaphragm/Cervical Cap Fitting W/Instructions
Prices here combine facility and professional fees. See them separately →Experimental
Low
$11
Average
$912
Median
$335
High
$71.9k
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Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 1630 hospitals; the 90th percentile is 25.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Boston Medical Center Boston, MA | $235 | $303 | $138 | 46% | 6–60 | $157 – $695 |
| 2 | Samaritan Medical Center Watertown, NY | $252 | $333 | $547 | 164% | 2–20 | $38 – $3.1k |
| 3 | St Luke's Regional Medical Center, LTD Boise, ID | $365 | $397 | $112 | 28% | 1–10 | $218 – $604 |
| 4 | Martin Memorial Medical Center Inc Stuart, FL | $145 | $476 | $1.1k | 241% | 1–10 | $38 – $8.7k |
| 5 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $256 | $634 | $1.1k | 175% | — | $72 – $4.1k |
| 6 | Beth Israel Deaconess Hospital - Needham Needham, MA | $400 | $400 | $80 | 20% | — | $320 – $480 |
| 7 | Lewisgale Hospital Montgomery CHRISTIANSBURG, VA | $2.6k | $2.7k | $249 | 9% | — | $2.0k – $2.9k |
| 8 | Ingalls Memorial Hospital Harvey, IL | $238 | $809 | $823 | 102% | — | $217 – $2.0k |
| 9 | Northern Itasca Hospital District Bigfork, MN | $62 | $72 | $17 | 24% | — | $54 – $106 |
| 10 | USA Health University Hospital Mobile, AL | $73 | $118 | $82 | 70% | — | $64 – $362 |
Ask Claude or any MCP client for CPT 57170 pricing at a specific hospital — see how to connect.