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
Boulder, CO
See all hospitals reporting CPT 57170 →Price type
Boulder Community Health’s median price of $94 is 57% below the median hospital's median price ($220), higher than 18% of the 1,634 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: 9 payers, 27 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 | Aetna medicare advantage professional · case rate · both | $41 | $41 | — | — | — | $41 – $41 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 4 | Humana medicare advantage professional · fee schedule · both | $41 | $41 | — | — | — | $41 – $41 |
| 5 | Kaiser medicare advantage professional · fee schedule · both | $51 | $51 | — | — | — | $51 – $51 |
| 6 | Anthem commercial professional · fee schedule · both | $59 | $65 | $9 | 14% | — | $59 – $79 |
| 7 | Kaiser commercial professional · fee schedule · both | $65 | $65 | — | — | — | $65 – $65 |
| 8 | MultiPlan commercial professional · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 9 | Phcs commercial professional · fee schedule · both | $72 | $72 | — | — | — | $72 – $72 |
| 10 | Cigna commercial facility · fee schedule · outpatient | $75 | $75 | — | — | — | $75 – $75 |
| 11 | Cigna commercial professional · fee schedule · both | $78 | $78 | — | — | — | $78 – $78 |
| 12 | Anthem managed care professional · fee schedule · both | $79 | $79 | — | — | — | $79 – $79 |
| 13 | Aetna commercial professional · fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
| 14 | Aetna ppo professional · fee schedule · both | $94 | $94 | — | — | — | $94 – $94 |
| 15 | UnitedHealthcare commercial professional · fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 16 | UnitedHealthcare medicare advantage professional · fee schedule · both | $128 | $128 | $87 | 68% | — | $41 – $216 |
| 17 | Aetna medicare advantage facility · case rate · outpatient | $216 | $216 | — | — | — | $216 – $216 |
| 18 | Anthem medicare advantage facility · case rate · outpatient | $216 | $216 | — | — | — | $216 – $216 |
| 19 | Humana medicare advantage facility · case rate · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 20 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $220 | $220 | — | — | — | $220 – $220 |
| 21 | Kaiser medicare advantage facility · case rate · outpatient | $221 | $221 | $1 | 0% | — | $220 – $222 |
| 22 | Devoted medicare advantage facility · case rate · outpatient | $222 | $222 | — | — | — | $222 – $222 |
| 23 | Kaiser commercial facility · case rate · outpatient | $471 | $471 | $57 | 12% | — | $414 – $527 |
| 24 | Kaiser managed care facility · case rate · outpatient | $522 | $522 | — | — | — | $522 – $522 |
| 25 | Anthem commercial facility · case rate · outpatient | $482 | $547 | $133 | 24% | — | $418 – $765 |
Last updated: Sep 16, 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.