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
Dallas, TX
See all hospitals reporting CPT 57400 →Price type
The University of Texas Southwestern Medical Center at Dallas’s median price of $399 is 88% below the median hospital's median price ($3.3k), higher than 16% 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, 32 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 | Molina managed medicaid fee schedule · both | $105.53 | $105.53 | $105.53 – $105.53 |
| 2 | UnitedHealthcare managed medicaid fee schedule · both | $105.53 | $105.53 | $105.53 – $105.53 |
| 3 | Aetna Better Health managed medicaid fee schedule · both | $121.36 | $121.36 | $121.36 – $121.36 |
| 4 | Ambetter commercial fee schedule · both | $129.68 | $129.68 | $129.68 – $129.68 |
| 5 | Blue Cross Blue Shield medicare advantage fee schedule · both | $132.66 | $132.66 | $132.66 – $132.66 |
| 6 | Humana medicare advantage fee schedule · both | $132.66 | $132.66 | $132.66 – $132.66 |
| 7 | UnitedHealthcare medicare advantage ppo fee schedule · both | $133.14 | $133.14 | $133.14 – $133.14 |
| 8 | UnitedHealthcare medicare advantage hmo fee schedule · both | $145.82 | $145.82 | $145.82 – $145.82 |
| 9 | Molina medicare advantage fee schedule · both | $147.82 | $147.82 | $147.82 – $147.82 |
| 10 | Blue Cross Blue Shield traditional fee schedule · both | $215.23 | $215.23 | $215.23 – $215.23 |
| 11 | Blue Cross Blue Shield mybluehealth fee schedule · both | $221.59 | $221.59 | $221.59 – $221.59 |
| 12 | Blue Cross Blue Shield hmo fee schedule · both | $306.89 | $306.89 | $306.89 – $306.89 |
| 13 | Blue Cross Blue Shield ppo fee schedule · both | $309.06 | $309.06 | $309.06 – $309.06 |
| 14 | UnitedHealthcare commercial fee schedule · both | $379.28 | $379.28 | $379.28 – $379.28 |
| 15 | Cigna hmo-ppo fee schedule · both | $418.83 | $418.83 | $418.83 – $418.83 |
| 16 | Phcs commercial fee schedule · both | $444.29 | $444.29 | $444.29 – $444.29 |
| 17 | MultiPlan commercial percent of total billed charges · bothfrom % of charges | $478.80 | $478.80 | $478.80 – $478.80 |
| 18 | Aetna hmo/pos/epo/ppo fee schedule · both | $529.34 | $529.34 | $529.34 – $529.34 |
| 19 | Aetna whole health fee schedule · both | $529.34 | $529.34 | $529.34 – $529.34 |
| 20 | UnitedHealthcare managed medicaid fee schedule · outpatient | $1,064 | $1,064 | $1,064 – $1,064 |
| 21 | Molina managed medicaid fee schedule · outpatient | $1,149 | $1,149 | $1,149 – $1,149 |
| 22 | Aetna Better Health managed medicaid fee schedule · outpatient | $1,170 | $1,170 | $1,170 – $1,170 |
| 23 | Humana medicare advantage fee schedule · outpatient | $3,307 | $3,307 | $3,307 – $3,307 |
| 24 | Blue Cross Blue Shield medicare advantage fee schedule · outpatient | $3,339 | $3,339 | $3,339 – $3,339 |
| 25 | Molina medicare advantage fee schedule · outpatient | $3,339 | $3,339 | $3,339 – $3,339 |
Last updated: Mar 10, 2026
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