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
PR DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL
Jasper, IN
See all hospitals reporting CPT 57400 →Price type
Little Company of Mary Hospital of Indiana Inc’s median price of $3.3k is about the same as the median hospital's median price ($3.3k), higher than 51% 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: 6 payers, 10 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 | Anthem managed medicaid professional · fee schedule · both | $97.90 | $97.90 | $97.90 – $97.90 |
| 2 | Anthem hmo/ppo/traditional facility · fee schedule · outpatient | $252.46 | $252.46 | $252.46 – $252.46 |
| 3 | Ambetter commercial professional · percent of total billed charges · bothfrom % of charges | $330.00 | $330.00 | $330.00 – $330.00 |
| 4 | Tricare government facility · case rate · outpatient | $2,831 | $2,831 | $2,831 – $2,831 |
| 5 | Aetna medicare advantage facility · case rate · outpatient | $3,331 | $3,331 | $3,331 – $3,331 |
| 6 | Anthem medicare advantage facility · case rate · outpatient | $3,331 | $3,331 | $3,331 – $3,331 |
| 7 | Caresource medicare advantage facility · case rate · outpatient | $3,331 | $3,331 | $3,331 – $3,331 |
| 8 | Humana medicare advantage facility · case rate · outpatient | $3,331 | $3,331 | $3,331 – $3,331 |
| 9 | Caresource commercial facility · case rate · outpatient | $4,164 | $4,164 | $4,164 – $4,164 |
| 10 | Ambetter commercial facility · case rate · outpatient | $4,330 | $4,330 | $4,330 – $4,330 |
Last updated: Feb 13, 2026
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