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
Low
$16
Average
$992
Median
$208
High
$17.8k
Each hospital's average Aetna rate, under the methodology and billing class chosen below.
1082 hospitals; the 90th percentile is 45.3× 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.
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1,457 hospital rates
iThe hospitals that file a Aetna rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | MARTIN MEMORIAL MEDICAL CENTER INC Port St Lucie, FL facility · percent of total billed charges · outpatientfrom % of charges | 4 | $369 | $529 | $295 | 56% | 1–10 | $339 – $1.0k |
| 2 | Samaritan Medical Center Watertown, NY facility · other · inpatient | 1 | $200 | $200 | — | — | 1–10 | $200 – $200 |
| 3 | Samaritan Medical Center Watertown, NY professional · other · both | 1 | $200 | $200 | — | — | 1–10 | $200 – $200 |
| 4 | "Savoy Medical Management Group, Inc." Mamou, LA facility · fee schedule · outpatient | 1 | $196 | $196 | — | — | — | $196 – $196 |
| 5 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 6 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY fee schedule · outpatient | 1 | $183 | $183 | — | — | — | $183 – $183 |
| 7 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 8 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA percent of total billed charges · outpatientfrom % of charges | 1 | $128 | $128 | — | — | — | $128 – $128 |
| 9 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $43 | $43 | — | — | — | $43 – $43 |
| 10 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $191 | $191 | — | — | — | $191 – $191 |
| 11 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 2 | $66 | $66 | $24 | 37% | — | $41 – $90 |
| 12 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · percent of total billed charges · outpatientfrom % of charges | 3 | $291 | $309 | $39 | 13% | — | $273 – $364 |
| 13 | ALASKA REGIONAL HOSPITAL Anchorage, AK case rate · outpatient | 3 | $9.9k | $10.5k | $1.1k | 10% | — | $9.7k – $12.0k |
| 14 | ALBANY GENERAL HOSPITAL Albany, OR facility · percent of total billed charges · outpatientfrom % of charges | 1 | $143 | $143 | — | — | — | $143 – $143 |
| 15 | ALBANY GENERAL HOSPITAL Albany, OR professional · fee schedule · outpatient | 10 | $89 | $107 | $36 | 34% | — | $74 – $174 |
| 16 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY facility · fee schedule · outpatient | 1 | $48 | $48 | — | — | — | $48 – $48 |
| 17 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 6 | $97 | $105 | $42 | 40% | — | $46 – $169 |
| 18 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $129 | $129 | $26 | 20% | — | $103 – $155 |
| 19 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 3 | $122 | $194 | $182 | 94% | — | $42 – $488 |
| 20 | AMH Cath Labs LLC Arlington, TX fee schedule · outpatient | 1 | $39 | $39 | — | — | — | $39 – $39 |
| 21 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH per diem · inpatient | 1 | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 22 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · inpatientfrom % of charges | 3 | $426 | $358 | $107 | 30% | — | $206 – $440 |
| 23 | ARTHUR G JAMES CANCER HOSPITAL AND RESEARCH INSTITUTE Columbus, OH percent of total billed charges · outpatientfrom % of charges | 6 | $309 | $307 | $124 | 40% | — | $167 – $440 |
| 24 | ATHOL MEMORIAL HOSPITAL INCORPORATED Athol, MA case rate · outpatient | 1 | $2.5k | $2.5k | — | — | — | $2.5k – $2.5k |
| 25 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 1 | $199 | $199 | — | — | — | $199 – $199 |
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