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
FITTING OF DIAPHRAGM/CAP
Glendale, CA
See all hospitals reporting CPT 57170 →Price type
Dignity Community Care’s median price of $256 is 16% above the median hospital's median price ($220), higher than 61% 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: 6 payers, 11 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 | Molina medicaid|all plans fee schedule · outpatient | $61 | $61 | — | — | — | $61 – $61 |
| 2 | Kaiser medicaid|< 21 fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 3 | Kaiser medicaid|> 21 fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 4 | Anthem medicaid|all plans fee schedule · outpatient | $68 | $68 | — | — | — | $68 – $68 |
| 5 | Humana commercial|all plans fee schedule · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 6 | UnitedHealthcare medicare|all plans case rate · outpatient | $256 | $256 | — | — | — | $256 – $256 |
| 7 | Anthem medicare|alhambra senior fee schedule · outpatient | $294 | $294 | — | — | — | $294 – $294 |
| 8 | Anthem commercial|alhambra fee schedule · outpatient | $320 | $320 | — | — | — | $320 – $320 |
| 9 | Anthem commercial|hcla fee schedule · outpatient | $320 | $320 | — | — | — | $320 – $320 |
| 10 | Blue Cross Blue Shield commercial|exchange case rate · outpatient | $599 | $599 | — | — | — | $599 – $599 |
| 11 | Blue Cross Blue Shield commercial|all other plans case rate · outpatient | $844 | $844 | — | — | — | $844 – $844 |
Last updated: Feb 28, 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.