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
Teaneck, NJ
See all hospitals reporting CPT 57170 →Price type
Holy Name’s median price of $237 is 8% above the median hospital's median price ($220), higher than 56% 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: 5 payers, 6 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 medicare prime facility · fee schedule · outpatient | $213 | $213 | — | — | — | $213 – $213 |
| 2 | Aetna golden medicare facility · fee schedule · outpatient | $237 | $237 | — | — | — | $237 – $237 |
| 3 | Clover clover facility · fee schedule · outpatient | $237 | $237 | — | — | — | $237 – $237 |
| 4 | UnitedHealthcare medicare facility · fee schedule · outpatient | $237 | $237 | — | — | — | $237 – $237 |
| 5 | WellCare medicare facility · fee schedule · outpatient | $239 | $239 | — | — | — | $239 – $239 |
| 6 | Cigna hmo/pos facility · fee schedule · outpatient | $661 | $661 | — | — | — | $661 – $661 |
Last updated: Nov 10, 2025
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.