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
WESTFIELD, NY
See all hospitals reporting CPT 57400 →Price type
Westfield Memorial Hospital Inc’s median price of $1.2k is 62% below the median hospital's median price ($3.3k), higher than 22% 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: 6 payers, 30 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 blue high performance fee schedule · outpatient | $155.22 | $155.22 | $155.22 – $155.22 |
| 2 | Cigna cigna commercial fee schedule · outpatient | $208.04 | $208.04 | $208.04 – $208.04 |
| 3 | UnitedHealthcare united healthcare navigate nexus commercial fee schedule · outpatient | $242.39 | $242.39 | $242.39 – $242.39 |
| 4 | UnitedHealthcare united healthcare of oh medicaid fee schedule · outpatient | $255.55 | $255.55 | $255.55 – $255.55 |
| 5 | UnitedHealthcare united healthcare medicaid fee schedule · outpatient | $647.63 | $647.63 | $53.65 – $1,242 |
| 6 | Highmark highmark together blue fee schedule · outpatient | $1,033 | $1,033 | $146.74 – $1,919 |
| 7 | UnitedHealthcare united healthcare chip fee schedule · outpatient | $1,242 | $1,242 | $1,242 – $1,242 |
| 8 | Highmark highmark my direct blue fee schedule · outpatient | $1,720 | $1,720 | $155.22 – $3,284 |
| 9 | UnitedHealthcare united healthcare commercial fee schedule · outpatient | $2,065 | $2,065 | $255.55 – $3,875 |
| 10 | Highmark highmark social mission indemnity fee schedule · outpatient | $2,080 | $2,080 | $155.22 – $4,006 |
| 11 | Highmark highmark social mission managed care fee schedule · outpatient | $2,080 | $2,080 | $155.22 – $4,006 |
| 12 | Highmark highmark my blue access fee schedule · outpatient | $2,376 | $2,376 | $155.22 – $4,597 |
| 13 | Highmark highmark performance blue fee schedule · outpatient | $2,818 | $2,818 | $155.22 – $5,481 |
| 14 | Highmark highmark connect blue fee schedule · outpatient | $3,033 | $3,033 | $155.22 – $5,911 |
| 15 | Highmark highmark community blue fee schedule · outpatient | $3,197 | $3,197 | $155.22 – $6,239 |
| 16 | Highmark highmark indemnity fee schedule · outpatient | $3,197 | $3,197 | $155.22 – $6,239 |
| 17 | Highmark highmark managed care fee schedule · outpatient | $3,197 | $3,197 | $155.22 – $6,239 |
| 18 | Highmark highmark community blue medicare ppo fee schedule · outpatient | $3,462 | $3,462 | $3,462 – $3,462 |
| 19 | Highmark highmark complete blue medicare fee schedule · outpatient | $3,462 | $3,462 | $3,462 – $3,462 |
| 20 | Highmark highmark freedom blue fee schedule · outpatient | $3,499 | $3,499 | $3,499 – $3,499 |
| 21 | Aetna aetna medicare fee schedule · outpatient | $3,913 | $3,913 | $3,913 – $3,913 |
| 22 | Highmark highmark community blue medicare hmo fee schedule · outpatient | $3,913 | $3,913 | $3,913 – $3,913 |
| 23 | Highmark highmark security blue fee schedule · outpatient | $3,913 | $3,913 | $3,913 – $3,913 |
| 24 | Highmark highmark together blue medicare fee schedule · outpatient | $3,913 | $3,913 | $3,913 – $3,913 |
| 25 | Humana humana commercial fee schedule · outpatient | $3,988 | $3,988 | $3,988 – $3,988 |
Last updated: Apr 14, 2026
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