Contraceptive diaphragm or cervical cap fitting at Dignity Community Care

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

Los Angeles, CA

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Pricing by billing methodology

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How this price compares nationally

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.

Payers reporting CPT 57170 at Dignity Community Care

Negotiated rates from the hospital’s own file: 6 payers, 12 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\|< 21 fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
2	Molina medicaid\|> 21 fee schedule · outpatient	$61	$61	—	—	—	$61 – $61
3	Kaiser medicaid\|< 21 fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
4	Kaiser medicaid\|> 21 fee schedule · outpatient	$65	$65	—	—	—	$65 – $65
5	Anthem medicaid\|all plans fee schedule · outpatient	$68	$68	—	—	—	$68 – $68
6	Blue Cross Blue Shield medicaid\|all plans fee schedule · outpatient	$218	$218	—	—	—	$218 – $218
7	Aetna medicare\|all plans fee schedule · outpatient	$256	$256	—	—	—	$256 – $256
8	Anthem medicare\|all plans fee schedule · outpatient	$256	$256	—	—	—	$256 – $256
9	Blue Cross Blue Shield medicare\|all other plans case rate · outpatient	$256	$256	—	—	—	$256 – $256
10	Molina medicare\|all plans fee schedule · outpatient	$256	$256	—	—	—	$256 – $256
11	UnitedHealthcare medicare\|all plans case rate · outpatient	$256	$256	—	—	—	$256 – $256
12	Blue Cross Blue Shield commercial\|exchange case rate · outpatient	$855	$855	—	—	—	$855 – $855

Last updated: Feb 28, 2026

Compare to other hospitals

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.