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
Bronx, NY
See all hospitals reporting CPT 57400 →Price type
Montefiore Medical Center’s median price of $275 is 92% below the median hospital's median price ($3.3k), higher than 14% 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: 11 payers, 74 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 | UnitedHealthcare empire plan - midlevels fee schedule · both | $122.48 | $122.48 | $122.48 – $122.48 |
| 2 | Blue Cross Blue Shield medicare midlevels fee schedule · both | $124.62 | $124.62 | $124.62 – $124.62 |
| 3 | Aetna medicare midlevels fee schedule · both | $128.53 | $128.53 | $128.53 – $128.53 |
| 4 | Cigna medicare midlevels fee schedule · both | $128.53 | $128.53 | $128.53 – $128.53 |
| 5 | Humana medicare midlevels fee schedule · both | $128.53 | $128.53 | $128.53 – $128.53 |
| 6 | Medicare part b - pa's & np's fee schedule · both | $128.53 | $128.53 | $128.53 – $128.53 |
| 7 | WellCare medicaid - pas & nps fee schedule · both | $128.53 | $128.53 | $128.53 – $128.53 |
| 8 | UnitedHealthcare essential plan 3 & 4 fee schedule · both | $139.22 | $139.22 | $139.22 – $139.22 |
| 9 | UnitedHealthcare medicare fee schedule · both | $139.22 | $139.22 | $139.22 – $139.22 |
| 10 | UnitedHealthcare empire plan md/dos fee schedule · both | $143.65 | $143.65 | $143.65 – $143.65 |
| 11 | Blue Cross Blue Shield medicare fee schedule · both | $146.61 | $146.61 | $146.61 – $146.61 |
| 12 | Aetna medicare fee schedule · both | $151.21 | $151.21 | $151.21 – $151.21 |
| 13 | Blue Cross Blue Shield essential 1 & 2 fee schedule · both | $151.21 | $151.21 | $151.21 – $151.21 |
| 14 | Blue Cross Blue Shield essential 3 & 4 fee schedule · both | $151.21 | $151.21 | $151.21 – $151.21 |
| 15 | Blue Cross Blue Shield medicare/dual fee schedule · both | $151.21 | $151.21 | $151.21 – $151.21 |
| 16 | Cigna medicare fee schedule · both | $151.21 | $151.21 | $151.21 – $151.21 |
| 17 | Medicare part b fee schedule · both | $151.21 | $151.21 | $151.21 – $151.21 |
| 18 | Oscar medicare fee schedule · both | $151.21 | $151.21 | $151.21 – $151.21 |
| 19 | WellCare essential plan 3 & 4 - pcps (medicaid) fee schedule · both | $151.21 | $151.21 | $151.21 – $151.21 |
| 20 | WellCare medicaid specialists fee schedule · both | $151.21 | $151.21 | $151.21 – $151.21 |
| 21 | UnitedHealthcare medicaid fee schedule · both | $152.68 | $152.68 | $152.68 – $152.68 |
| 22 | Humana medicare fee schedule · both | $154.23 | $154.23 | $154.23 – $154.23 |
| 23 | WellCare medicare - pas & nps fee schedule · both | $163.61 | $163.61 | $163.61 – $163.61 |
| 24 | WellCare essential plan 3 & 4 - specialists & ob/gyns (medicaid) fee schedule · both | $173.89 | $173.89 | $173.89 – $173.89 |
| 25 | WellCare medicaid - ob/gyn fee schedule · both | $173.89 | $173.89 | $173.89 – $173.89 |
Last updated: Sep 28, 2026
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