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
Galveston, TX
See all hospitals reporting CPT 57400 →Price type
The University of Texas Medical Branch’s median price of $1.1k is 68% below the median hospital's median price ($3.3k), higher than 20% 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: 10 payers, 42 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 | Blue Cross Blue Shield medicare fee schedule · inpatient | $57.14 | $57.14 | $57.14 – $57.14 |
| 2 | Cigna medicare fee schedule · inpatient | $57.14 | $57.14 | $57.14 – $57.14 |
| 3 | Blue Cross Blue Shield blue advantage hmo fee schedule · inpatient | $59.00 | $59.00 | $59.00 – $59.00 |
| 4 | UnitedHealthcare medicare percent of total billed charges · outpatientfrom % of charges | $59.50 | $59.50 | $59.50 – $59.50 |
| 5 | Blue Cross Blue Shield blue essentials hmo fee schedule · inpatient | $59.72 | $59.72 | $59.72 – $59.72 |
| 6 | WellCare medicare fee schedule · inpatient | $60.00 | $60.00 | $60.00 – $60.00 |
| 7 | Blue Cross Blue Shield ppo pos fee schedule · inpatient | $61.82 | $61.82 | $61.82 – $61.82 |
| 8 | Humana medicare fee schedule · inpatient | $66.56 | $66.56 | $66.56 – $66.56 |
| 9 | UnitedHealthcare medicare fee schedule · inpatient | $66.56 | $66.56 | $66.56 – $66.56 |
| 10 | Aetna medicare fee schedule · inpatient | $69.01 | $69.01 | $69.01 – $69.01 |
| 11 | Oscar all contracted plans fee schedule · inpatient | $71.43 | $71.43 | $71.43 – $71.43 |
| 12 | Aetna marketplace plans fee schedule · outpatient | $75.55 | $75.55 | $75.55 – $75.55 |
| 13 | Aetna medicare fee schedule · outpatient | $75.55 | $75.55 | $75.55 – $75.55 |
| 14 | Aetna marketplace plans fee schedule · inpatient | $86.78 | $86.78 | $86.78 – $86.78 |
| 15 | Cigna hmo ppo pos fee schedule · both | $87.66 | $87.66 | $87.66 – $87.66 |
| 16 | Aetna ppo fee schedule · inpatient | $90.19 | $90.19 | $90.19 – $90.19 |
| 17 | UnitedHealthcare medicaid percent of total billed charges · bothfrom % of charges | $93.50 | $93.50 | $93.50 – $93.50 |
| 18 | UnitedHealthcare medicaid chip percent of total billed charges · bothfrom % of charges | $93.50 | $93.50 | $93.50 – $93.50 |
| 19 | Blue Cross Blue Shield ut select fee schedule · inpatient | $94.19 | $94.19 | $94.19 – $94.19 |
| 20 | UnitedHealthcare ppo hmo fee schedule · inpatient | $97.62 | $97.62 | $97.62 – $97.62 |
| 21 | Molina medicaid percent of total billed charges · bothfrom % of charges | $102.00 | $102.00 | $102.00 – $102.00 |
| 22 | UnitedHealthcare medicaid fee schedule · outpatient | $1,320 | $1,320 | $1,320 – $1,320 |
| 23 | UnitedHealthcare medicaid chip fee schedule · outpatient | $1,320 | $1,320 | $1,320 – $1,320 |
| 24 | Molina medicaid fee schedule · outpatient | $1,510 | $1,510 | $1,510 – $1,510 |
| 25 | Aetna ppo fee schedule · outpatient | $2,282 | $2,282 | $75.55 – $4,488 |
Last updated: Mar 31, 2023
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