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
Diaphragm or cervical cap fitting w/instructions 57170
Low
$46
Average
$9.2k
Median
$78
High
$29.0k
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
9 hospitals; the 90th percentile is 595.0× 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.
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12 hospital rates
iThe hospitals that file a MultiPlan 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 | Bronson Battle Creek Hospital Battle Creek, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $68 | $68 | — | — | — | $68 – $68 |
| 2 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 3 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 4 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $29.0k | $29.0k | — | — | — | $29.0k – $29.0k |
| 5 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29.0k | $29.0k | — | — | — | $29.0k – $29.0k |
| 6 | Hendrick Medical Center Brownwood, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $24.8k | $24.8k | — | — | — | $24.8k – $24.8k |
| 7 | Hendrick Medical Center Brownwood, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $24.8k | $24.8k | — | — | — | $24.8k – $24.8k |
| 8 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · inpatientfrom % of charges | 1 | $29.0k | $29.0k | — | — | — | $29.0k – $29.0k |
| 9 | Hendrick Medical Center Abilene, TX facility · percent of total billed charges · outpatientfrom % of charges | 1 | $29.0k | $29.0k | — | — | — | $29.0k – $29.0k |
| 10 | MaineHealth Rockport, ME percent of total billed charges · bothfrom % of charges | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 11 | Public Hospital District NO 2 Skagit County Washington Anacortes, WA facility · fee schedule · both | 1 | $46 | $46 | — | — | — | $46 – $46 |
| 12 | The University of Texas Medical Branch Webster, TX percent of total billed charges · bothfrom % of charges | 1 | $88 | $88 | — | — | — | $88 – $88 |
← Payers reporting HCPCS A4261 · Snapshot 20261112T181611Z-3fa9fb76