Contraceptive diaphragm or cervical cap fitting at AMH Cath Labs LLC

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

FITTING OF DIAPHRAGM/CAP

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $208 is 6% below the median hospital's median price ($220), higher than 46% of the 1,630 hospitals reporting CPT 57170. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 57170 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 6 payers, 19 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 managed medicaid fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$36	$36	—	—	—	$36 – $36
3	WellCare managed medicaid fee schedule · outpatient	$38	$38	—	—	—	$38 – $38
4	Molina managed medicaid fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
5	Aetna managed medicaid fee schedule · outpatient	$39	$39	—	—	—	$39 – $39
6	Blue Cross Blue Shield exchange case rate · outpatient	$41	$41	—	—	—	$41 – $41
7	Blue Cross Blue Shield hmo case rate · outpatient	$83	$83	—	—	—	$83 – $83
8	Blue Cross Blue Shield ppo case rate · outpatient	$92	$92	—	—	—	$92 – $92
9	Blue Cross Blue Shield medicare advantage case rate · outpatient	$203	$203	—	—	—	$203 – $203
10	Humana medicare advantage case rate · outpatient	$212	$212	—	—	—	$212 – $212
11	Humana medicare advantage ppo case rate · outpatient	$212	$212	—	—	—	$212 – $212
12	Molina medicare advantage case rate · outpatient	$214	$214	—	—	—	$214 – $214
13	WellCare medicare advantage hmo case rate · outpatient	$214	$214	—	—	—	$214 – $214
14	WellCare medicare advantage mmp case rate · outpatient	$224	$224	—	—	—	$224 – $224
15	UnitedHealthcare medicare advantage ppo case rate · outpatient	$226	$226	—	—	—	$226 – $226
16	UnitedHealthcare medicare advantage hmo case rate · outpatient	$230	$230	—	—	—	$230 – $230
17	Blue Cross Blue Shield traditional case rate · outpatient	$296	$296	—	—	—	$296 – $296
18	UnitedHealthcare all payer case rate · outpatient	$1.2k	$1.2k	—	—	—	$1.2k – $1.2k
19	UnitedHealthcare ppo case rate · outpatient	$1.6k	$1.6k	—	—	—	$1.6k – $1.6k

Last updated: Apr 21, 2026

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