Contraceptive diaphragm or cervical cap fitting at Dukes Health System LLC

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

57170 FITTING OF DIAPHRAGM/CAP

Peru, IN

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How this price compares nationally

Dukes Health System LLC’s median price of $68 is 69% 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 Dukes Health System LLC

Negotiated rates from the hospital’s own file: 10 payers, 28 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	Tricare node tricare facility · fee schedule · outpatient	$29	$28	$3	9%	—	$24 – $30
2	Anthem node anthem in mcr select facility · fee schedule · outpatient	$30	$29	$3	9%	—	$25 – $32
3	Humana node humana mcr adv facility · fee schedule · outpatient	$30	$29	$3	9%	—	$25 – $32
4	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$30	$29	$3	9%	—	$25 – $32
5	Anthem anthem in hip facility · fee schedule · outpatient	$31	$30	$3	9%	—	$26 – $33
6	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$31	$30	$3	9%	—	$26 – $33
7	Optum node united optum va ccn facility · per diem · outpatient	$31	$30	$3	9%	—	$26 – $33
8	Aetna node aetna mcr adv facility · fee schedule · outpatient	$31	$30	$3	9%	—	$26 – $33
9	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$31	$30	$3	9%	—	$26 – $33
10	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$46	$45	$4	9%	—	$38 – $49
11	Anthem anthem in work comp facility · other · outpatient	$49	$48	$4	9%	—	$41 – $52
12	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$55	$54	$5	9%	—	$46 – $59
13	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$55	$54	$5	9%	—	$46 – $59
14	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$55	$54	$5	9%	—	$46 – $59
15	Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges	$55	$54	$5	9%	—	$46 – $59
16	Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges	$65	$63	$6	9%	—	$54 – $69
17	Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges	$73	$71	$7	9%	—	$61 – $78
18	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$76	$74	$7	9%	—	$63 – $80
19	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$123	$120	$11	9%	—	$102 – $130
20	First Health first health facility · percent of total billed charges · outpatientfrom % of charges	$123	$120	$11	9%	—	$102 – $130
21	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$125	$121	$11	9%	—	$104 – $132
22	MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges	$125	$121	$11	9%	—	$104 – $132
23	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$125	$121	$11	9%	—	$104 – $132
24	MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges	$125	$121	$11	9%	—	$104 – $132
25	Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges	$154	$150	$14	9%	—	$128 – $163

Page 1 of 2 · 28 rates

Last updated: Apr 1, 2026

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