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
Texarkana, TX
See all hospitals reporting CPT 57400 →Price type
St. Michael Health System - Texarkana’s median price of $3.1k is 6% below the median hospital's median price ($3.3k), higher than 41% 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: 7 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 chip km case rate · outpatient | $361.04 | $361.04 | $361.04 – $361.04 |
| 2 | UnitedHealthcare star kid km case rate · outpatient | $361.04 | $361.04 | $361.04 – $361.04 |
| 3 | UnitedHealthcare star km case rate · outpatient | $361.04 | $361.04 | $361.04 – $361.04 |
| 4 | UnitedHealthcare star plus km case rate · outpatient | $361.04 | $361.04 | $361.04 – $361.04 |
| 5 | Molina chip km fee schedule · outpatient | $1,117 | $1,117 | $1,117 – $1,117 |
| 6 | Molina healthspring star plus km fee schedule · outpatient | $1,117 | $1,117 | $1,117 – $1,117 |
| 7 | Molina star km fee schedule · outpatient | $1,117 | $1,117 | $1,117 – $1,117 |
| 8 | Molina star plus km fee schedule · outpatient | $1,117 | $1,117 | $1,117 – $1,117 |
| 9 | Humana choicecare other · outpatient | $2,070 | $2,070 | $2,070 – $2,070 |
| 10 | Bcbs Tx hmo fee schedule · outpatient | $2,723 | $2,723 | $2,723 – $2,723 |
| 11 | Bcbs Tx traditional fee schedule · outpatient | $2,948 | $2,948 | $2,948 – $2,948 |
| 12 | Bcbs Tx blue advantage hmo fee schedule · outpatient | $3,023 | $3,023 | $3,023 – $3,023 |
| 13 | Aetna mm fee schedule · outpatient | $3,121 | $3,121 | $3,121 – $3,121 |
| 14 | Bcbs Tx mm fee schedule · outpatient | $3,121 | $3,121 | $3,121 – $3,121 |
| 15 | Humana choicecare network mm fee schedule · outpatient | $3,121 | $3,121 | $3,121 – $3,121 |
| 16 | Molina medicare adv mm fee schedule · outpatient | $3,121 | $3,121 | $3,121 – $3,121 |
| 17 | UnitedHealthcare mm fee schedule · outpatient | $3,121 | $3,121 | $3,121 – $3,121 |
| 18 | Bcbs Tx ppo fee schedule · outpatient | $3,947 | $3,947 | $3,947 – $3,947 |
| 19 | UnitedHealthcare hix case rate · outpatient | $4,578 | $4,578 | $4,578 – $4,578 |
| 20 | Healthcare Highways ppo case rate · outpatient | $4,702 | $4,702 | $4,702 – $4,702 |
| 21 | Aetna ppo case rate · outpatient | $5,706 | $5,706 | $5,706 – $5,706 |
| 22 | Cigna ppo case rate · outpatient | $6,367 | $6,367 | $6,367 – $6,367 |
| 23 | Bcbs Tx heb fee schedule · outpatient | $6,620 | $6,620 | $6,620 – $6,620 |
| 24 | UnitedHealthcare all payer case rate · outpatient | $7,110 | $7,110 | $7,110 – $7,110 |
Last updated: Jan 14, 2026
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