Diaphragm or cervical cap fitting with instructions (CPT 57170)
57170 is the billing code hospitals use for this service. Prices below are each hospital's own posted facility charge.
Name shown as it appears in hospital billing files.
19 of 118 hospitals post a price for this code. Hospitals that don't post one are left out — we never guess a number.
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| Hospital | Location | Cash price | Gross charge | Medicare pays | × Medicare |
|---|---|---|---|---|---|
| Memorial Hospital of Carbon County | Rawlins, WY | $93.75 | $125 | $206.55 | 0.5× |
| Family Health West Hospital | Fruita, CO | $109.20 | $156 | $213.27 | 0.5× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $117.90 | $131 | $213.27 | 0.6× |
| Cody Regional Health | Cody, WY | $123.25 | $145 | $206.55 | 0.6× |
| Powell Valley Healthcare | Powell, WY | $130.48 | $153.50 | $206.55 | 0.6× |
| Denver Health Medical Center | Denver, CO | $131.48 | $375.65 | $213.27 | 0.6× |
| Rio Grande Hospital | Del Norte, CO | $133.58 | $178.11 | $213.27 | 0.6× |
| Montrose Regional Health | Montrose, CO | $195 | $260 | $213.27 | 0.9× |
| Keefe Memorial Hospital | Cheyenne Wells, CO | $202 | $202 | $213.27 | 0.9× |
| Estes Park Medical Center | Estes Park, CO | $207.75 | $277 | $213.27 | 1.0× |
| St. John's Medical Center | Jackson, WY | $228.50 | $228.50 | $206.55 | 1.1× |
| Sheridan Memorial Hospital | Sheridan, WY | $252 | $315 | $206.55 | 1.2× |
| UCHealth University of Colorado Hospital | Aurora, CO | $252.70 | $722 | $213.27 | 1.2× |
| Crook County Medical Services District | Sundance, WY | $338.10 | $450.80 | $206.55 | 1.6× |
| AdventHealth Porter | Denver, CO | $519.18 | $519.18 | $213.27 | 2.4× |
| AdventHealth Avista | Louisville, CO | $519.18 | $519.18 | $215.63 | 2.4× |
| AdventHealth Littleton | Littleton, CO | $519.18 | $519.18 | $213.27 | 2.4× |
| AdventHealth Parker | Parker, CO | $519.18 | $519.18 | $213.27 | 2.4× |
| AdventHealth Castle Rock | Castle Rock, CO | $519.18 | $519.18 | $213.27 | 2.4× |
"Medicare pays" is the facility (technical) rate, matching the posted facility charge; the doctor's separate professional fee is excluded throughout. "—" means Medicare has no comparable facility rate.