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 DILATE VAGINA W/ANESTH NON-LOCAL
Jackson, MI
See all hospitals reporting CPT 57400 →Price type
WA Foote Memorial Hospital’s median price of $140 is 96% below the median hospital's median price ($3.3k), higher than 7% 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, 45 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 medicaid-behavioral health-adult-fac professional · fee schedule · outpatient | $73.70 | $73.70 | $73.70 – $73.70 |
| 2 | UnitedHealthcare medicaid-behavioral health-child-fac professional · fee schedule · outpatient | $73.70 | $73.70 | $73.70 – $73.70 |
| 3 | Molina medicaid hmo-adult-fac professional · fee schedule · outpatient | $76.65 | $76.65 | $76.65 – $76.65 |
| 4 | Molina medicaid hmo-child-fac professional · fee schedule · outpatient | $76.65 | $76.65 | $76.65 – $76.65 |
| 5 | Aetna Better Health medicaid hmo-fac professional · fee schedule · outpatient | $77.39 | $77.39 | $77.39 – $77.39 |
| 6 | Blue Cross Blue Shield blue cross complete-adult-fac professional · fee schedule · outpatient | $77.39 | $77.39 | $77.39 – $77.39 |
| 7 | Blue Cross Blue Shield blue cross complete-child-fac professional · fee schedule · outpatient | $77.39 | $77.39 | $77.39 – $77.39 |
| 8 | Humana tricare-nonphysician-nonfac professional · fee schedule · outpatient | $96.16 | $96.16 | $96.16 – $96.16 |
| 9 | Humana tricare-nonphysician-fac professional · fee schedule · outpatient | $103.24 | $103.24 | $103.24 – $103.24 |
| 10 | Aetna medicare advantage/dual products-fac professional · fee schedule · outpatient | $114.75 | $114.75 | $114.75 – $114.75 |
| 11 | Aetna medicare advantage/dual products-nonfac professional · fee schedule · outpatient | $114.75 | $114.75 | $114.75 – $114.75 |
| 12 | Blue Cross Blue Shield bcn medicare advantage -fac professional · fee schedule · outpatient | $114.75 | $114.75 | $114.75 – $114.75 |
| 13 | Blue Cross Blue Shield bcn medicare advantage -nonfac professional · fee schedule · outpatient | $114.75 | $114.75 | $114.75 – $114.75 |
| 14 | Blue Cross Blue Shield medicare plus blue-fac professional · fee schedule · outpatient | $114.75 | $114.75 | $114.75 – $114.75 |
| 15 | Blue Cross Blue Shield medicare plus blue-nonfac professional · fee schedule · outpatient | $114.75 | $114.75 | $114.75 – $114.75 |
| 16 | Humana medicare advantage-fac professional · fee schedule · outpatient | $114.75 | $114.75 | $114.75 – $114.75 |
| 17 | Molina medicare advantage-fac professional · fee schedule · outpatient | $114.75 | $114.75 | $114.75 – $114.75 |
| 18 | Molina medicare advantage-nonfac professional · fee schedule · outpatient | $114.75 | $114.75 | $114.75 – $114.75 |
| 19 | UnitedHealthcare medicare-behavioral health-fac professional · fee schedule · outpatient | $114.75 | $114.75 | $114.75 – $114.75 |
| 20 | UnitedHealthcare medicare-behavioral health-nonfac professional · fee schedule · outpatient | $114.75 | $114.75 | $114.75 – $114.75 |
| 21 | WellCare wellcare meridian dual align (hmo d-snp)-fac professional · fee schedule · outpatient | $114.75 | $114.75 | $114.75 – $114.75 |
| 22 | WellCare wellcare meridian dual align (hmo d-snp)-nonfac professional · fee schedule · outpatient | $114.75 | $114.75 | $114.75 – $114.75 |
| 23 | Humana medicare advantage-nonfac professional · fee schedule · outpatient | $117.05 | $117.05 | $117.05 – $117.05 |
| 24 | Humana tricare facility · fee schedule · outpatient | $119.09 | $119.09 | $119.09 – $119.09 |
| 25 | Humana tricare-physician-fac professional · fee schedule · outpatient | $119.09 | $119.09 | $119.09 – $119.09 |
Last updated: Jun 28, 2026
See Vaginal dilation under general anesthesia pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.