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
Dilation Vagina W/Anesthesia Other Than Local
Summit, NJ
See all hospitals reporting CPT 57400 →Price type
Overlook Medical Center’s median price of $3.7k is 12% above the median hospital's median price ($3.3k), higher than 63% 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: 9 payers, 15 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 omc aetna ahs employee other · outpatient | $3,689 | $3,689 | $3,689 – $3,689 |
| 2 | Aetna omc aetna medicare case rate · outpatient | $3,689 | $3,689 | $3,689 – $3,689 |
| 3 | Aetna omc aetna nnj prime other · outpatient | $3,689 | $3,689 | $3,689 – $3,689 |
| 4 | Ambetter omc ambetter wellcare of nj other · outpatient | $3,689 | $3,689 | $3,689 – $3,689 |
| 5 | Anthem omc horizon braven other · outpatient | $3,689 | $3,689 | $3,689 – $3,689 |
| 6 | Blue Cross Blue Shield omc horizon braven other · outpatient | $3,689 | $3,689 | $3,689 – $3,689 |
| 7 | Cigna omc cigna medicare case rate · outpatient | $3,689 | $3,689 | $3,689 – $3,689 |
| 8 | Highmark omc highmark wholecare / gateway health plan inc other · outpatient | $3,689 | $3,689 | $3,689 – $3,689 |
| 9 | Highmark omc horizon braven other · outpatient | $3,689 | $3,689 | $3,689 – $3,689 |
| 10 | Tricare omc tricare contract other · outpatient | $3,689 | $3,689 | $3,689 – $3,689 |
| 11 | Tricare omc tricare-east (humana military) other · outpatient | $3,689 | $3,689 | $3,689 – $3,689 |
| 12 | WellCare omc wellcare phw other · outpatient | $3,689 | $3,689 | $3,689 – $3,689 |
| 13 | WellCare omc wellcare/fedelis medicare other · outpatient | $3,689 | $3,689 | $3,689 – $3,689 |
| 14 | Amerihealth Caritas omc amerihealth caritas other · outpatient | $3,726 | $3,726 | $3,726 – $3,726 |
| 15 | Aetna omc aetna htc other · outpatient | $5,165 | $5,165 | $5,165 – $5,165 |
Last updated: Apr 1, 2026
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