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
Rochester, NY
See all hospitals reporting CPT 57400 →Price type
Strong Memorial Hospital’s median price of $192 is 94% below the median hospital's median price ($3.3k), higher than 11% 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, 23 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 | Highmark highmark bc/bs of western ny medicaid [170201], amerigroup (bswny alternate) [172001], community blue child health plus [514306], bc/bs of wny essential (no medicaid) [514307] fee schedule · both | $67.31 | $67.67 | $58.04 – $78.03 |
| 2 | Excellus blue choice option medicaid [170601], excellus child health plus [220108],excellus healthy ny [220110], excellus essential (no medicaid) [220109], excellus essential (w/ medicaid) [170604], univera healthy ny [220112], univera essential (no medicaid) [22 fee schedule · both | $109.29 | $98.09 | $65.68 – $120.17 |
| 3 | Aetna aetna medicare [130001] fee schedule · both | $101.99 | $101.99 | $93.72 – $110.26 |
| 4 | UnitedHealthcare united healthcare medicare [130901], securehorizons direct [130902], united healthcare dual complete [130904], uhc medicare complete [130905] fee schedule · both | $110.26 | $110.26 | $110.26 – $110.26 |
| 5 | Highmark highmark bc/bs medicare [130101] fee schedule · both | $112.24 | $112.24 | $103.14 – $121.34 |
| 6 | Molina molina medicaid [172301], molina essential (w/medicaid) [172302], molina child health plus [518901], molina essential (no medicaid) [518902] fee schedule · both | $115.27 | $115.27 | $115.27 – $115.27 |
| 7 | Humana humana medicare [131201] fee schedule · both | $119.63 | $119.63 | $111.36 – $127.90 |
| 8 | Highmark bc/bs of western ny [514301], community blue (buffalo ny) [514302], bc/bs of western ny healthy ny [514305], highmark bc/bs of northeastern ny [514308], highmark bc/bs of northeastern pa [514309], highmark bc/bs of pennsylvania [514311], highmark bc/bs o fee schedule · both | $132.95 | $133.40 | $117.45 – $150.25 |
| 9 | UnitedHealthcare united healthcare medicaid [171601], united healthcare essential (w/ medicaid [171602], united healthcare essential (no medicaid [515812], united healthcare child health plus [515813] fee schedule · both | $138.08 | $138.08 | $98.52 – $177.63 |
| 10 | Excellus excellus metal tiers [220102],univera metal tiers individual [220113],univera metal tiers small group [220114] fee schedule · both | $151.36 | $155.72 | $93.72 – $226.42 |
| 11 | UnitedHealthcare empire plan uhc [518001] fee schedule · both | $204.23 | $204.23 | $187.67 – $220.78 |
| 12 | Aetna aetna [270002], aetna chickering [270001], aetna ur [270003], aetna medical mutual ppo [270004], aetna travel [270005] fee schedule · both | $274.73 | $279.39 | $203.90 – $364.21 |
| 13 | UnitedHealthcare united health care student resources [515801], united healthcare - medica [515802], united healthcare [515803], united healthcare (kingston,ny) [515805], united healthcare 31350 [515807], united healthcare 31362 [515808], united healthcare oxford [515809 fee schedule · both | $318.77 | $318.77 | $301.63 – $335.90 |
| 14 | Excellus excellus bc/bs [220101],excellus ur [220105],excellus simply blue [220106],excellus blue choice [220107], univera [220104], excellus federal bluecross blue shield [220201], bc/bs out of area [2401] fee schedule · both | $330.36 | $320.38 | $134.08 – $508.33 |
| 15 | Cigna cigna (desmoines ia) [514401], cigna healthcare (pob 182223) [514405], cigna international [514410], great west life and annuaty ins [514411], cigna healthcare (pob 188061) [514412], health partners [514413] fee schedule · both | $531.69 | $496.39 | $305.05 – $625.52 |
| 16 | Highmark highmark bcbs medicare [130101] fee schedule · outpatient | $4,041 | $4,041 | $4,041 – $4,041 |
| 17 | UnitedHealthcare united healthcare medicare [130901] fee schedule · outpatient | $4,173 | $4,173 | $4,173 – $4,173 |
| 18 | Aetna aetna medicare [130001] fee schedule · outpatient | $4,305 | $4,305 | $4,305 – $4,305 |
| 19 | Humana humana medicare [131201] fee schedule · outpatient | $4,411 | $4,411 | $4,411 – $4,411 |
| 20 | Excellus excellus metal tiers [220102] fee schedule · outpatient | $5,431 | $5,431 | $5,431 – $5,431 |
| 21 | Excellus excellus [220101], excellus simply blue [220106], excellus blue choice [220107] fee schedule · outpatient | $7,121 | $7,121 | $7,121 – $7,121 |
| 22 | Excellus excellus high performance [220103] fee schedule · outpatient | $7,121 | $7,121 | $7,121 – $7,121 |
| 23 | Cigna cigna healthcare (pob 182223) [514405] fee schedule · outpatient | $8,004 | $8,004 | $8,004 – $8,004 |
Last updated: Jul 1, 2026
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