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 DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL
Newburgh, IN
See all hospitals reporting CPT 57400 →Price type
Deaconess Hospital, Inc’s median price of $186 is 94% below the median hospital's median price ($3.3k), higher than 10% of the 1,552 hospitals reporting CPT 57400. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 13 payers, 43 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 managed medicaid professional · fee schedule · both | $34.66 | $34.66 | $34.66 – $34.66 |
| 2 | WellCare managed medicaid professional · fee schedule · both | $34.66 | $34.66 | $34.66 – $34.66 |
| 3 | Aetna Better Health managed medicaid professional · fee schedule · both | $72.83 | $72.83 | $34.66 – $111.00 |
| 4 | Molina managed medicaid professional · fee schedule · both | $72.83 | $72.83 | $34.66 – $111.00 |
| 5 | UnitedHealthcare managed medicaid professional · fee schedule · both | $76.46 | $76.46 | $34.66 – $118.26 |
| 6 | Bcbs Il managed medicaid professional · fee schedule · both | $111.00 | $111.00 | $111.00 – $111.00 |
| 7 | Anthem commercial professional · fee schedule · both | $117.12 | $117.12 | $117.12 – $117.12 |
| 8 | Anthem medicare advantage professional · fee schedule · both | $117.12 | $117.12 | $117.12 – $117.12 |
| 9 | Caresource medicare advantage professional · fee schedule · both | $117.12 | $117.12 | $117.12 – $117.12 |
| 10 | Humana commercial professional · fee schedule · both | $117.12 | $117.12 | $117.12 – $117.12 |
| 11 | Humana medicare advantage professional · fee schedule · both | $117.12 | $117.12 | $117.12 – $117.12 |
| 12 | Molina dual medicare/medicaid professional · fee schedule · both | $117.12 | $117.12 | $117.12 – $117.12 |
| 13 | Molina medicare advantage professional · fee schedule · both | $117.12 | $117.12 | $117.12 – $117.12 |
| 14 | WellCare medicare advantage professional · fee schedule · both | $117.12 | $117.12 | $117.12 – $117.12 |
| 15 | Anthem managed medicaid professional · fee schedule · both | $118.26 | $118.26 | $118.26 – $118.26 |
| 16 | Caresource managed medicaid professional · fee schedule · both | $118.26 | $118.26 | $118.26 – $118.26 |
| 17 | Bcbs Il dual medicare/medicaid professional · fee schedule · both | $119.46 | $119.46 | $119.46 – $119.46 |
| 18 | Bcbs Il medicare advantage professional · fee schedule · both | $119.46 | $119.46 | $119.46 – $119.46 |
| 19 | Ambetter commercial professional · fee schedule · both | $134.69 | $134.69 | $134.69 – $134.69 |
| 20 | Caresource commercial professional · fee schedule · both | $152.26 | $152.26 | $152.26 – $152.26 |
| 21 | Anthem hmo professional · fee schedule · both | $178.17 | $178.17 | $178.17 – $178.17 |
| 22 | Anthem hmo/ppo/traditional professional · fee schedule · both | $178.17 | $178.17 | $178.17 – $178.17 |
| 23 | UnitedHealthcare commercial professional · fee schedule · both | $233.73 | $194.86 | $117.12 – $233.73 |
| 24 | Aetna commercial professional · fee schedule · both | $238.52 | $238.52 | $238.52 – $238.52 |
| 25 | Cigna commercial professional · fee schedule · both | $238.52 | $238.52 | $238.52 – $238.52 |
Last updated: Feb 13, 2026
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