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
PR FITTING OF DIAPHRAGM/CAP
Monroe, LA
See all hospitals reporting CPT 57170 →Price type
Brfhh Monroe, Llc’s median price of $183 is 17% below the median hospital's median price ($220), higher than 28% 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: 10 payers, 14 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 Better Health all payor other · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 2 | Amerihealth Caritas all payor other · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 3 | UnitedHealthcare all payor other · outpatient | $13 | $13 | — | — | — | $13 – $13 |
| 4 | MultiPlan all payor other · outpatient | $57 | $57 | — | — | — | $57 – $57 |
| 5 | Bcbs La all payor fee schedule · outpatient | $50 | $76 | $53 | 70% | — | $50 – $183 |
| 6 | Humana all payor other · outpatient | $95 | $95 | $82 | 86% | — | $13 – $176 |
| 7 | Cigna all payor case rate · outpatient | $128 | $128 | — | — | — | $128 – $128 |
| 8 | Aetna all payor fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 9 | Humana all payor fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 10 | Optum all payor fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 11 | UnitedHealthcare all payor fee schedule · outpatient | $183 | $183 | — | — | — | $183 – $183 |
| 12 | UnitedHealthcare all payor case rate · outpatient | $465 | $465 | $49 | 10% | — | $416 – $513 |
| 13 | Aetna all payor case rate · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
| 14 | First Health all payor other · outpatient | $2.4k | $2.4k | — | — | — | $2.4k – $2.4k |
Last updated: Apr 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.