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
Mount Vernon, IL
See all hospitals reporting CPT 57400 →Price type
Deaconess Illinois Crossroads Inc’s median price of $335 is 90% below the median hospital's median price ($3.3k), higher than 16% 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: 8 payers, 29 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 managed medicaid professional · fee schedule · both | $111.00 | $111.00 | $111.00 – $111.00 |
| 2 | Bcbs Il managed medicaid professional · fee schedule · both | $111.00 | $111.00 | $111.00 – $111.00 |
| 3 | Molina managed medicaid professional · fee schedule · both | $111.00 | $111.00 | $111.00 – $111.00 |
| 4 | WellCare managed medicaid professional · fee schedule · both | $111.00 | $111.00 | $111.00 – $111.00 |
| 5 | Aetna medicare advantage professional · fee schedule · both | $125.96 | $125.96 | $125.96 – $125.96 |
| 6 | Aetna Better Health medicare mmp professional · fee schedule · both | $125.96 | $125.96 | $125.96 – $125.96 |
| 7 | Bcbs Il medicare advantage professional · fee schedule · both | $125.96 | $125.96 | $125.96 – $125.96 |
| 8 | Humana dual medicare/medicaid professional · fee schedule · both | $125.96 | $125.96 | $125.96 – $125.96 |
| 9 | Humana medicare advantage professional · fee schedule · both | $125.96 | $125.96 | $125.96 – $125.96 |
| 10 | Molina dual medicare/medicaid professional · fee schedule · both | $125.96 | $125.96 | $125.96 – $125.96 |
| 11 | UnitedHealthcare medicare advantage professional · fee schedule · both | $125.96 | $125.96 | $125.96 – $125.96 |
| 12 | WellCare dual medicare/medicaid professional · fee schedule · both | $125.96 | $125.96 | $125.96 – $125.96 |
| 13 | WellCare medicare advantage professional · fee schedule · both | $125.96 | $125.96 | $125.96 – $125.96 |
| 14 | UnitedHealthcare commercial professional · fee schedule · both | $137.30 | $137.30 | $125.96 – $148.63 |
| 15 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $213.95 | $213.95 | $213.95 – $213.95 |
| 16 | Bcbs Il blue choice ppo professional · fee schedule · both | $254.36 | $254.36 | $254.36 – $254.36 |
| 17 | Bcbs Il hmo/ppo professional · fee schedule · both | $254.36 | $254.36 | $254.36 – $254.36 |
| 18 | Humana epo/hmo/pos/ppo professional · percent of total billed charges · bothfrom % of charges | $429.00 | $429.00 | $429.00 – $429.00 |
| 19 | Aetna commercial professional · percent of total billed charges · bothfrom % of charges | $434.50 | $434.50 | $434.50 – $434.50 |
| 20 | Aetna medicare advantage facility · case rate · outpatient | $3,314 | $3,314 | $3,314 – $3,314 |
| 21 | Bcbs Il medicare advantage facility · case rate · outpatient | $3,314 | $3,314 | $3,314 – $3,314 |
| 22 | Humana dual medicare/medicaid facility · case rate · outpatient | $3,314 | $3,314 | $3,314 – $3,314 |
| 23 | Humana medicare advantage facility · case rate · outpatient | $3,314 | $3,314 | $3,314 – $3,314 |
| 24 | UnitedHealthcare commercial facility · case rate · outpatient | $3,314 | $3,314 | $3,314 – $3,314 |
| 25 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $3,314 | $3,314 | $3,314 – $3,314 |
Last updated: Feb 3, 2026
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