Fitting of diaphragm/cap (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.
152 of 2110 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 |
|---|---|---|---|---|---|
| Hedrick Medical Center | Chillicothe, MO | $10.80 | $18 | $202.50 | 0.1× |
| Duke University Hospital | Durham, NC | $14.31 | $53 | $201.17 | 0.1× |
| Lallie Kemp Regional Medical Center | Independence, LA | $17.13 | $28.55 | $183.07 | 0.1× |
| Summit Surgical, LLC | Hutchinson, KS | $18.04 | $22.55 | $185.93 | 0.1× |
| Ochsner LSU Health - Monroe Medical Center | Monroe, LA | $18.63 | $81 | $183.07 | 0.1× |
| Ochsner Lafayette General Medical Center | Lafayette, LA | $19.14 | $58 | $183.07 | 0.1× |
| Ochsner St. Anne Hospital | Raceland, LA | $21.56 | $49 | $183.07 | 0.1× |
| Ochsner LSU Health - St. Mary Medical Center | Shreveport, LA | $22.68 | $81 | $183.07 | 0.1× |
| Unity Health - White County Medical Center | Searcy, AR | $25 | $100 | $184.08 | 0.1× |
| Unity Health - Jacksonville | Jacksonville, AR | $25 | $100 | $189.96 | 0.1× |
| Unity Health - Newport | Newport, AR | $25 | $100 | $184.08 | 0.1× |
| Ochsner LSU Health - Academic Medical Center | Shreveport, LA | $25.11 | $81 | $195.05 | 0.1× |
| Ochsner Medical Center - New Orleans | New Orleans, LA | $27.06 | $123 | $189.77 | 0.1× |
| Hilton Head Medical Center | Hilton Head Island, SC | $28.79 | — | $188.03 | 0.2× |
| East Cooper Medical Center | Mount Pleasant, SC | $28.79 | — | $188.03 | 0.2× |
| Coastal Carolina Medical Center | Hardeeville, SC | $28.79 | — | $188.03 | 0.2× |
| Baylor Scott & White Medical Center - Temple | Temple, TX | $29.63 | $49.38 | $203.09 | 0.1× |
| Baylor Scott & White Medical Center - Hillcrest | Waco, TX | $29.63 | $49.38 | $203.09 | 0.1× |
| Baylor Scott & White Medical Center- College Stati | College Station, TX | $29.63 | $49.38 | $203.09 | 0.1× |
| Baylor Scott & White Medical Center - Marble Falls | Marble Falls, TX | $29.63 | $49.38 | $203.09 | 0.1× |
| Baylor Scott & White Hospital Brenham | Brenham, TX | $29.63 | $49.38 | $203.09 | 0.1× |
| University Health Truman Medical Center | Kansas City, MO | $36.85 | $67 | $202.50 | 0.2× |
| University Health Lakewood Medical Center | Kansas City, MO | $36.85 | $67 | $202.50 | 0.2× |
| Ochsner Medical Center - Baton Rouge | Baton Rouge, LA | $37.44 | $117 | $183.07 | 0.2× |
| Nacogdoches Memorial Hospital | Nacogdoches, TX | $44 | $145 | $203.09 | 0.2× |
| UAB Medical West | Bessemer, AL | $50.48 | $67.31 | $184.92 | 0.3× |
| Memorial Medical Center | Port Lavaca, TX | $53.20 | $76 | $203.09 | 0.3× |
| Washington County Hospital and Nursing Home | Chatom, AL | $54.17 | — | $174.24 | 0.3× |
| University Health System | San Antonio, TX | $59 | $236 | $203.09 | 0.3× |
| Ste. Genevieve County Memorial Hospital | Ste. Genevieve, MO | $62.50 | $125 | $202.50 | 0.3× |
| Ochsner Rush Medical Center | Meridian, MS | $70 | $200 | $178.53 | 0.4× |
| Val Verde Regional Medical Center | Del Rio, TX | $77.35 | $119 | $203.09 | 0.4× |
| Touro | New Orleans, LA | $81.90 | $585 | $189.77 | 0.4× |
| Freeman Neosho Hospital | Neosho, MO | $87.30 | $145.50 | $202.50 | 0.4× |
| Texas Childrens Hospital | Houston, TX | $87.77 | $131 | $203.09 | 0.4× |
| Texas Childrens Hospital North Austin Campus | Austin, TX | $87.77 | $131 | $203.09 | 0.4× |
| West Jefferson Medical Center | Marrero, LA | $87.84 | $549 | $189.77 | 0.5× |
| SCK Health | Arkansas City, KS | $90 | $90 | $185.93 | 0.5× |
| Bayou Bend Health System | Franklin, LA | $93.10 | $133 | $183.07 | 0.5× |
| Memorial Hospital of Carbon County | Rawlins, WY | $93.75 | $125 | $206.55 | 0.5× |
| Grove Hill Rural Emergency Hospital | Grove Hill, AL | $94.20 | $157 | $174.24 | 0.5× |
| Southwest Medical Center | Liberal, KS | $96.40 | $120.50 | $185.93 | 0.5× |
| East Carroll Parish Hospital | Lake Providence, LA | $103.50 | $138 | $184.07 | 0.6× |
| MUSC Health Black River Medical Center | Cades, SC | $105.50 | $211 | $188.03 | 0.6× |
| Family Health West Hospital | Fruita, CO | $109.20 | $156 | $213.27 | 0.5× |
| Rolling Plains Memorial Hospital | Sweetwater, TX | $111 | $170 | $203.09 | 0.5× |
| Community Hospital, Onaga and St. Marys Campus | Onaga, KS | $114.40 | $143 | $185.93‡ | 0.6× |
| Cheyenne County Hospital | St. Francis, KS | $115 | $115 | $185.93 | 0.6× |
| Spanish Peaks Regional Health Center | Walsenburg, CO | $117.90 | $131 | $213.27 | 0.6× |
| Fitzgibbon Hospital | Marshall, MO | $119.68 | $149.60 | $202.50 | 0.6× |
| Ottawa County Health Center | Minneapolis, KS | $120 | $120 | $185.93 | 0.6× |
| Ochsner Laird Hospital | Union, MS | $122 | $200 | $174.30 | 0.7× |
| Scotland County Hospital | Memphis, MO | $122.50 | $175 | $202.50 | 0.6× |
| Vanderbilt Bedford Hospital | Shelbyville, TN | $122.82 | $423.50 | $193.05 | 0.6× |
| Vanderbilt Tullahoma-Harton Hospital | Tullahoma, TN | $122.82 | $423.50 | $191.93 | 0.6× |
| Vanderbilt Wilson County Hospital | Lebanon, TN | $122.82 | $423.50 | $193.96 | 0.6× |
| Mcpherson Hospital Inc | Mcpherson, KS | $122.84 | $166 | $185.93 | 0.7× |
| Cody Regional Health | Cody, WY | $123.25 | $145 | $206.55 | 0.6× |
| Titus Regional Medical Center | Mount Pleasant, TX | $124.80 | $208 | $203.09 | 0.6× |
| Ochsner Scott Regional | Morton, MS | $126 | $200 | $182.53 | 0.7× |
| Conway Medical Center | Conway, SC | $129 | $129 | $188.03 | 0.7× |
| DeSoto Regional Health System | Mansfield, LA | $129.50 | $185 | $183.07 | 0.7× |
| 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× |
| Manning Family Children's | New Orleans, LA | $133.65 | $495 | $189.77 | 0.7× |
| Ochsner Watkins Hospital | Quitman, MS | $134 | $200 | $174.30 | 0.8× |
| Tampa General Hospital | Tampa, FL | $134.75 | $385 | $211.12 | 0.6× |
| North Central Kansas Medical Center | Concordia, KS | $135.52 | $193.60 | $185.93 | 0.7× |
| Samaritan Hospital | Macon, MO | $136 | $170 | $202.50 | 0.7× |
| Hamilton Hospital | Olney, TX | $136.50 | $195 | $203.09 | 0.7× |
| Ochsner Stennis Hospital | De Kalb, MS | $138 | $200 | $174.30 | 0.8× |
| UConn John Dempsey Hospital | Farmington, CT | $139.20 | $232 | $242.37 | 0.6× |
| Golden Valley Memorial Healthcare | Clinton, MO | $144.63 | $241.05 | $202.50 | 0.7× |
| MUSC Health University Medical Center | Charleston, SC | $145.50 | $291 | $188.03 | 0.8× |
| Nebraska Medical Center | Omaha, NE | $146.06 | $224.70 | $209.93 | 0.7× |
| Bellevue Medical Center | Bellevue, NE | $146.06 | $224.70 | $209.93 | 0.7× |
| University Hospital | Columbia, MO | $149.40 | $249 | $202.50 | 0.7× |
| Ochsner Choctaw General | Butler, AL | $152 | $200 | $174.24 | 0.9× |
| Medina Regional Hospital | Hondo, TX | $155.70 | $173 | $203.09 | 0.8× |
| Memorial Hospital | Seward, NE | $156 | $156 | $209.93 | 0.7× |
| WakeMed Raleigh Campus | Raleigh, NC | $158.08 | $416 | $204.86 | 0.8× |
| WakeMed Cary Hospital | Cary, NC | $158.08 | $416 | $204.86 | 0.8× |
| Beatrice Community Hospital & Health Center, Inc | Beatrice, NE | $159 | $159 | $209.93 | 0.8× |
| University of Kansas Hospital | Kansas City, KS | $161.60 | $808 | $188.75 | 0.9× |
| University of Kansas Health System Olathe Hospital | Olathe, KS | $161.60 | $808 | $191.41 | 0.8× |
| The University of Kansas Health System Paola Hospital | Paola, KS | $161.60 | $808 | $193.12 | 0.8× |
| Community Memorial Healthcare, Inc | Marysville, KS | $165 | $165 | $185.93 | 0.9× |
| Neosho Memorial Regional Medical Center | Chanute, KS | $168.01 | $224.01 | $185.93 | 0.9× |
| Baylor Scott & White Medical Center -taylor | Taylor, TX | $168.73 | $281.22 | $203.09 | 0.8× |
| Scott & White Hospital-round Rock | Round Rock, TX | $168.73 | $281.22 | $203.09 | 0.8× |
| Baylor Scott & White Medical Center - Pflugerville | Pflugerville, TX | $168.73 | $281.22 | $203.09 | 0.8× |
| Baylor Scott & White Medical Center - Buda | Buda, TX | $168.73 | $281.22 | $203.09 | 0.8× |
| Baylor Scott & White Medical Center- Austin | Austin, TX | $168.73 | $281.22 | $203.09 | 0.8× |
| University Medical Center New Orleans | New Orleans, LA | $174.90 | $795 | $183.07 | 1.0× |
| Stamford Hospital | Stamford, CT | $191.19 | $191.19 | $242.37 | 0.8× |
| Memorial Hospital | Abilene, KS | $193.60 | $193.60 | $185.93 | 1.0× |
| Montrose Regional Health | Montrose, CO | $195 | $260 | $213.27 | 0.9× |
| Southern Regional Medical Center | Riverdale, GA | $201 | $500 | $202.78 | 1.0× |
| Lakeside Medical Center | Belle Glade, FL | $201.93 | — | $211.12 | 1.0× |
| 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× |
| Our Lady of the Lake Surgical Hospital | Slidell, LA | $220.90 | — | $183.60 | 1.2× |
| Livingston Hospital | Salem, KY | $221.62 | $369.38 | $189.70 | 1.2× |
| St. John's Medical Center | Jackson, WY | $228.50 | $228.50 | $206.55 | 1.1× |
| Vanderbilt University Hospital | Nashville, TN | $228.69 | $423.50 | $198.46 | 1.2× |
| Drumright Regional Hospital | Drumright, OK | $230.40 | $384 | $194.44 | 1.2× |
| Summit Medical Center, LLC | Edmond, OK | $230.66 | — | $194.44 | 1.2× |
| Colquitt Regional Medical Center | Moultrie, GA | $239 | $239 | $183.09 | 1.3× |
| Griffin Hospital | Derby, CT | $240.49 | — | $242.37 | 1.0× |
| Valleywise Health Medical Center | Phoenix, AZ | $248.09 | $340 | $215.73 | 1.2× |
| 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× |
| Saint Thomas Hospital for Specialty Surgery | Nashville, TN | $252.77 | — | $193.96 | 1.3× |
| UF Health Jacksonville | Jacksonville, FL | $270.04 | $490.98 | $211.12 | 1.3× |
| UK Albert B. Chandler Hospital | Lexington, KY | $273 | $682.50 | $197.44 | 1.4× |
| JPS Health Network | Fort Worth, TX | $312 | $520 | $203.09 | 1.5× |
| MedStar Georgetown University Hospital | Washington, DC | $329.97 | $507.65 | $238.83 | 1.4× |
| Crook County Medical Services District | Sundance, WY | $338.10 | $450.80 | $206.55 | 1.6× |
| Holy Cross Hospital | Fort Lauderdale, FL | $347.10 | $534 | $211.12 | 1.6× |
| Doctors Hosptal at Renaissance | Edinburg, TX | $359.92 | $359.92 | $203.09 | 1.8× |
| UT Health San Antonio Multispecialty & Research Ho | San Antonio, TX | $370.80 | $618 | $203.09 | 1.8× |
| Duncan Regional Hospital, Inc | Duncan, OK | $410.14 | — | $194.44 | 2.1× |
| Saint Luke's Hospital of Kansas City | Kansas City, MO | $462 | $770 | $202.50 | 2.3× |
| UAMS Medical Center | Little Rock, AR | $496.20 | $827 | $189.96 | 2.6× |
| 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× |
| Mercy Hospital Washington | Washington, MO | $579.80 | $892 | $202.50 | 2.9× |
| Northwest Surgical Hospital | Oklahoma City, OK | $583.32 | — | $194.44 | 3.0× |
| Community Hospital, LLC | Oklahoma City, OK | $583.32 | — | $194.44 | 3.0× |
| AdventHealth Orlando | Orlando, FL | $642 | $642 | $211.12 | 3.0× |
| CHI Health Plainview | Plainview, NE | $678.30 | $807.50 | $209.93 | 3.2× |
| CHI Health Schuyler | Schuyler, NE | $686.38 | $807.50 | $209.93 | 3.3× |
| Cleveland Clinic Martin North Hospital | Stuart, FL | $751.40 | $1,156 | $211.12 | 3.6× |
| Cleveland Clinic Indian River Hospital | Vero Beach, FL | $751.40 | $1,156 | $211.12 | 3.6× |
| Cleveland Clinic Hospital | Weston, FL | $751.40 | $1,156 | $211.12 | 3.6× |
| Hartford Hospital | Hartford, CT | $791 | $791 | $242.37 | 3.3× |
| Thibodaux Regional Health System | Thibodaux, LA | $819 | $819 | $183.07 | 4.5× |
| Texas Health Hospital Mansfield | Mansfield, TX | $1,088.90 | $1,088.90 | $203.09 | 5.4× |
| Northwest Hills Surgical Hospital | Austin, TX | $1,252.44 | $3,479 | $203.09 | 6.2× |
| AdventHealth Carrollwood | Tampa, FL | $2,089.82 | $2,089.82 | $211.12 | 9.9× |
| Omega Hospital | Metairie, LA | $11,801.82 | $20,231.68 | $189.77 | 62.2× |
| Carroll County Memorial Hospital | Carrollton, MO | — | $30 | $202.50 | — |
| Cobre Valley Regional Medical Center | Globe, AZ | — | $163 | $215.73 | — |
| Mount San Rafael Hospital | Trinidad, CO | — | $225 | $213.27 | — |
| Phoenix Children’s Hospital – Thomas Campus | Phoenix, AZ | — | $244 | $215.73 | — |
| University of Texas M D Anderson Cancer Center | Houston, TX | — | $321 | $203.09 | — |
| Western Missouri Medical Center | Warrensburg, MO | — | $339 | $202.50 | — |
| UAB Hospital | Birmingham, AL | — | $395 | $184.92 | — |
"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.
‡ Price taken from the hospital's inpatient list; no outpatient price posted.