Contraceptive diaphragm or cervical cap fitting at Bluffton Health System 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

57170 FITTING OF DIAPHRAGM/CAP

Bluffton, IN

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How this price compares nationally

Bluffton Health System LLC’s median price of $121 is 45% below the median hospital's median price ($220), higher than 22% 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 Bluffton Health System LLC

Negotiated rates from the hospital’s own file: 10 payers, 26 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	Cigna cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$49	$47	$4	9%	—	$41 – $52
2	Cigna cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$55	$53	$5	9%	—	$45 – $58
3	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$56	$54	$5	9%	—	$46 – $59
4	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$56	$54	$5	9%	—	$46 – $59
5	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$56	$54	$5	9%	—	$46 – $59
6	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$56	$54	$5	9%	—	$46 – $59
7	Aetna aetna facility · percent of total billed charges · inpatientfrom % of charges	$69	$67	$6	9%	—	$57 – $73
8	Aetna aetna facility · percent of total billed charges · outpatientfrom % of charges	$69	$67	$6	9%	—	$57 – $73
9	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$72	$70	$7	9%	—	$60 – $76
10	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$123	$120	$11	9%	—	$102 – $130
11	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$123	$120	$11	9%	—	$102 – $130
12	First Health first health non-exclusive facility · percent of total billed charges · inpatientfrom % of charges	$132	$129	$12	9%	—	$110 – $140
13	First Health first health non-exclusive facility · percent of total billed charges · outpatientfrom % of charges	$132	$129	$12	9%	—	$110 – $140
14	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$189	$189	—	—	—	$189 – $189
15	Aetna node aetna mcr adv facility · other · outpatient	$210	$210	—	—	—	$210 – $210
16	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$210	$210	—	—	—	$210 – $210
17	Anthem anthem in hip facility · fee schedule · outpatient	$214	$214	—	—	—	$214 – $214
18	Humana node humana choicecare mcr adv facility · fee schedule · outpatient	$214	$214	—	—	—	$214 – $214
19	Optum node united optum va ccn facility · per diem · outpatient	$214	$214	—	—	—	$214 – $214
20	Caresource node caresource mcr adv facility · fee schedule · outpatient	$215	$215	—	—	—	$215 – $215
21	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$215	$215	—	—	—	$215 – $215
22	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$321	$321	—	—	—	$321 – $321
23	Anthem anthem in work comp facility · other · outpatient	$342	$342	—	—	—	$342 – $342
24	Anthem anthem in marketplace stld facility · fee schedule · outpatient	$703	$703	—	—	—	$703 – $703
25	Anthem anthem in healthsync facility · fee schedule · outpatient	$721	$721	—	—	—	$721 – $721

Page 1 of 2 · 26 rates

Last updated: Apr 1, 2026

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