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
HC DILATION OF VAGINA W ANESTH
Maple Grove, MN
See all hospitals reporting CPT 57400 →Price type
Fairview Maple Grove Surgery Center’s median price of $1.4k is 59% below the median hospital's median price ($3.3k), higher than 22% 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, 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 | Medicaid medicaid fee schedule · both | $86.20 | $86.20 | $86.20 – $86.20 |
| 2 | Ucare mhcp fee schedule · both | $87.84 | $87.84 | $87.84 – $87.84 |
| 3 | Medica accessability fee schedule · both | $92.36 | $92.36 | $92.36 – $92.36 |
| 4 | Medica medicaid fee schedule · both | $92.36 | $92.36 | $92.36 – $92.36 |
| 5 | Blue Cross Blue Shield medicaid fee schedule · both | $98.83 | $98.83 | $98.83 – $98.83 |
| 6 | UnitedHealthcare medicare advantage fee schedule · both | $117.09 | $117.09 | $117.09 – $117.09 |
| 7 | Blue Cross Blue Shield medicare advantage fee schedule · both | $121.77 | $121.77 | $121.77 – $121.77 |
| 8 | Medica ma non-snp fee schedule · both | $125.81 | $125.81 | $125.81 – $125.81 |
| 9 | Medica ma snp fee schedule · both | $125.81 | $125.81 | $125.81 – $125.81 |
| 10 | Medica prime solution fee schedule · both | $125.81 | $125.81 | $125.81 – $125.81 |
| 11 | Medica vantage fee schedule · both | $125.81 | $125.81 | $125.81 – $125.81 |
| 12 | Ucare ifp with fairview fee schedule · both | $309.00 | $309.00 | $309.00 – $309.00 |
| 13 | Ucare ifp fee schedule · both | $325.51 | $325.51 | $325.51 – $325.51 |
| 14 | Medica bold fee schedule · both | $370.62 | $370.62 | $370.62 – $370.62 |
| 15 | Medica choice without / elect fee schedule · both | $411.80 | $411.80 | $411.80 – $411.80 |
| 16 | Medica city of st paul / essential uplan fee schedule · both | $411.80 | $411.80 | $411.80 – $411.80 |
| 17 | Medica choice with fee schedule · both | $426.18 | $426.18 | $426.18 – $426.18 |
| 18 | UnitedHealthcare commercial fee schedule · both | $429.12 | $429.12 | $429.12 – $429.12 |
| 19 | Blue Cross Blue Shield federal fee schedule · both | $436.71 | $436.71 | $436.71 – $436.71 |
| 20 | Blue Cross Blue Shield commercial fee schedule · both | $444.57 | $444.57 | $444.57 – $444.57 |
| 21 | Cigna commercial fee schedule · both | $557.30 | $557.30 | $508.84 – $605.76 |
| 22 | Medica accessability fee schedule · outpatient | $765.00 | $765.00 | $765.00 – $765.00 |
| 23 | Medica medicaid fee schedule · outpatient | $895.00 | $895.00 | $895.00 – $895.00 |
| 24 | Blue Cross Blue Shield medicaid fee schedule · outpatient | $1,179 | $1,179 | $1,179 – $1,179 |
| 25 | Medica ma snp fee schedule · outpatient | $1,194 | $1,194 | $1,194 – $1,194 |
Last updated: May 18, 2026
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