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 OF VAGINA
New Braunfels, TX
See all hospitals reporting CPT 57400 →Price type
Santa Rosa Hospital - New Braunfels’s median price of $3.1k is 7% below the median hospital's median price ($3.3k), higher than 38% 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, 24 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 star kids km case rate · outpatient | $374.64 | $374.64 | $374.64 – $374.64 |
| 2 | UnitedHealthcare star km case rate · outpatient | $374.64 | $374.64 | $374.64 – $374.64 |
| 3 | Bcbs Tx star kids km fee schedule · outpatient | $1,085 | $1,085 | $1,085 – $1,085 |
| 4 | Bcbs Tx star km fee schedule · outpatient | $1,085 | $1,085 | $1,085 – $1,085 |
| 5 | Aetna new business case rate · outpatient | $2,130 | $2,130 | $2,130 – $2,130 |
| 6 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $2,223 | $2,223 | $2,223 – $2,223 |
| 7 | Aetna epo case rate · outpatient | $2,366 | $2,366 | $2,366 – $2,366 |
| 8 | Aetna hmo case rate · outpatient | $2,366 | $2,366 | $2,366 – $2,366 |
| 9 | Aetna pos case rate · outpatient | $2,366 | $2,366 | $2,366 – $2,366 |
| 10 | Aetna ppo case rate · outpatient | $2,366 | $2,366 | $2,366 – $2,366 |
| 11 | Bcbs Tx heb fee schedule · outpatient | $2,523 | $2,523 | $2,523 – $2,523 |
| 12 | Bcbs Tx ppo fee schedule · outpatient | $2,873 | $2,873 | $2,873 – $2,873 |
| 13 | Humana mm fee schedule · outpatient | $3,081 | $3,081 | $3,081 – $3,081 |
| 14 | UnitedHealthcare mm fee schedule · outpatient | $3,081 | $3,081 | $3,081 – $3,081 |
| 15 | WellCare mm fee schedule · outpatient | $3,081 | $3,081 | $3,081 – $3,081 |
| 16 | Aetna mm fee schedule · outpatient | $3,143 | $3,143 | $3,143 – $3,143 |
| 17 | Cigna healthspring medicare advantage mm fee schedule · outpatient | $3,174 | $3,174 | $3,174 – $3,174 |
| 18 | Bcbs Tx hmo fee schedule · outpatient | $3,198 | $3,198 | $3,198 – $3,198 |
| 19 | Devoted mm fee schedule · outpatient | $3,328 | $3,328 | $3,328 – $3,328 |
| 20 | Bcbs Tx traditional fee schedule · outpatient | $4,397 | $4,397 | $4,397 – $4,397 |
| 21 | Healthcare Highways ppo case rate · outpatient | $4,543 | $4,543 | $4,543 – $4,543 |
| 22 | Cigna new business case rate · outpatient | $5,201 | $5,201 | $5,201 – $5,201 |
| 23 | UnitedHealthcare all payer case rate · outpatient | $5,445 | $5,445 | $5,445 – $5,445 |
| 24 | Cigna ppo case rate · outpatient | $6,603 | $6,603 | $6,603 – $6,603 |
Last updated: Jan 12, 2026
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