Contraceptive diaphragm or cervical cap fitting at Conway Hospital, Inc.

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

Conway, SC

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Pricing by billing methodology

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How this price compares nationally

Conway Hospital, Inc.’s median price of $71 is 68% below the median hospital's median price ($220), higher than 12% 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 Conway Hospital, Inc.

Negotiated rates from the hospital’s own file: 9 payers, 37 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 facility · percent of total billed charges · outpatientfrom % of charges	$23	$23	—	—	—	$23 – $23
2	Blue Cross Blue Shield state health plan facility · fee schedule · outpatient	$29	$29	—	—	—	$29 – $29
3	Blue Cross Blue Shield narrow network facility · percent of total billed charges · inpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
4	Blue Cross Blue Shield narrow network facility · percent of total billed charges · outpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
5	Blue Cross Blue Shield exchange facility · percent of total billed charges · inpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
6	Blue Cross Blue Shield exchange facility · percent of total billed charges · outpatientfrom % of charges	$39	$39	—	—	—	$39 – $39
7	Blue Cross Blue Shield ppo facility · fee schedule · outpatient	$46	$46	—	—	—	$46 – $46
8	Aetna medicare professional · fee schedule · outpatient	$57	$57	$13	23%	—	$44 – $71
9	Blue Cross Blue Shield medicare professional · fee schedule · outpatient	$57	$57	$13	23%	—	$44 – $71
10	Clover medicare professional · fee schedule · outpatient	$57	$57	$13	23%	—	$44 – $71
11	Humana commercial professional · fee schedule · outpatient	$57	$57	$13	23%	—	$44 – $71
12	Humana medicare professional · fee schedule · outpatient	$57	$57	$13	23%	—	$44 – $71
13	Molina exchange professional · fee schedule · outpatient	$57	$57	$13	23%	—	$44 – $71
14	Molina medicare professional · fee schedule · outpatient	$57	$57	$13	23%	—	$44 – $71
15	UnitedHealthcare medicare professional · fee schedule · outpatient	$57	$57	$13	23%	—	$44 – $71
16	WellCare medicare professional · fee schedule · outpatient	$57	$57	$13	23%	—	$44 – $71
17	Blue Cross Blue Shield state health plan facility · percent of total billed charges · inpatientfrom % of charges	$65	$65	—	—	—	$65 – $65
18	Blue Cross Blue Shield state health plan facility · percent of total billed charges · outpatientfrom % of charges	$65	$65	—	—	—	$65 – $65
19	Medcost commercial facility · percent of total billed charges · inpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
20	Medcost commercial facility · percent of total billed charges · outpatientfrom % of charges	$73	$73	—	—	—	$73 – $73
21	Blue Cross Blue Shield state health plan professional · fee schedule · outpatient	$75	$75	—	—	—	$75 – $75
22	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$88	$88	—	—	—	$88 – $88
23	Cigna commercial facility · percent of total billed charges · inpatientfrom % of charges	$90	$90	—	—	—	$90 – $90
24	Cigna commercial facility · percent of total billed charges · outpatientfrom % of charges	$90	$90	—	—	—	$90 – $90
25	Blue Cross Blue Shield ppo facility · percent of total billed charges · inpatientfrom % of charges	$93	$93	—	—	—	$93 – $93

Page 1 of 2 · 37 rates

Last updated: May 20, 2026

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