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
Fitting of diaphragm/cap
Devils Lake, ND
See all hospitals reporting CPT 57170 →Price type
Altru Hospital Devils Lake’s median price of $364 is 66% above the median hospital's median price ($220), higher than 72% of the 1,630 hospitals reporting CPT 57170. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 5 payers, 10 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.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield medicaid managed care plan facility · fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 2 | Medica medicaid managed care plan facility · fee schedule · outpatient | $196 | $196 | $169 | 86% | — | $27 – $365 |
| 3 | Medica medicaid managed care plan – hmo facility · fee schedule · outpatient | $196 | $196 | $169 | 86% | — | $27 – $365 |
| 4 | Aetna medicare managed care plan facility · fee schedule · outpatient | $207 | $207 | — | — | — | $207 – $207 |
| 5 | Medica medicare managed care plan facility · fee schedule · outpatient | $252 | $252 | $203 | 81% | — | $48 – $455 |
| 6 | Sanford Health Plan all commercial plans facility · fee schedule · outpatient | $283 | $283 | $41 | 15% | — | $241 – $324 |
| 7 | Blue Cross Blue Shield all commercial plans facility · fee schedule · outpatient | $365 | $365 | — | — | — | $365 – $365 |
| 8 | UnitedHealthcare all commercial plans facility · fee schedule · outpatient | $404 | $404 | — | — | — | $404 – $404 |
| 9 | Medica all commercial plans facility · fee schedule · outpatient | $670 | $670 | $592 | 88% | — | $79 – $1.3k |
| 10 | Aetna all commercial plans facility · fee schedule · outpatient | $372 | $3.0k | $3.9k | 128% | — | $217 – $8.5k |
Last updated: Mar 1, 2026
See Contraceptive diaphragm or cervical cap fitting pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.