Contraceptive diaphragm or cervical cap fitting at Carle Eureka Hospital

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
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Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Fitting of Diaphragm/Cap

Eureka, IL

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How this price compares nationally

Carle Eureka Hospital’s median price of $272 is 24% above the median hospital's median price ($220), higher than 64% 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 Carle Eureka Hospital

Negotiated rates from the hospital’s own file: 9 payers, 22 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	Humana medicare-medicaid (d-snp) fee schedule · inpatient	$42	$42	—	—	—	$42 – $42
2	Humana medicare-medicaid (d-snp) fee schedule · outpatient	$42	$42	—	—	—	$42 – $42
3	Aetna Better Health medicare-medicaid (d-snp) fee schedule · inpatient	$43	$43	—	—	—	$43 – $43
4	Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient	$43	$43	—	—	—	$43 – $43
5	Cigna ppo case rate · outpatient	$82	$82	—	—	—	$82 – $82
6	Aetna commercial fee schedule · outpatient	$92	$92	—	—	—	$92 – $92
7	Molina managed medicaid percent of total billed charges · inpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
8	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
9	Molina medicare-medicaid (d-snp) percent of total billed charges · inpatientfrom % of charges	$121	$121	—	—	—	$121 – $121
10	WellCare medicare advantage hmo case rate · outpatient	$217	$217	—	—	—	$217 – $217
11	Aetna medicare advantage percent of total billed charges · outpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
12	Humana medicare advantage percent of total billed charges · outpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
13	UnitedHealthcare medicare advantage percent of total billed charges · outpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
14	UnitedHealthcare va ccn/optum percent of total billed charges · outpatientfrom % of charges	$272	$272	—	—	—	$272 – $272
15	Molina medicare-medicaid (d-snp) percent of total billed charges · outpatientfrom % of charges	$290	$290	—	—	—	$290 – $290
16	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$371	$371	—	—	—	$371 – $371
17	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$373	$373	—	—	—	$373 – $373
18	Aetna ppo percent of total billed charges · inpatientfrom % of charges	$399	$399	—	—	—	$399 – $399
19	Aetna ppo percent of total billed charges · outpatientfrom % of charges	$399	$399	—	—	—	$399 – $399
20	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$405	$405	—	—	—	$405 – $405
21	MultiPlan ppo percent of total billed charges · outpatientfrom % of charges	$453	$453	—	—	—	$453 – $453
22	Blue Cross Blue Shield blue choice/options/ppo percent of total billed charges · outpatientfrom % of charges	$507	$507	—	—	—	$507 – $507

Last updated: Apr 15, 2026

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