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Procedure price report · Other non-OR therapeutic procedures, female organs

Fitting of a diaphragm or cervical cap

CPT 57170the billing code this page is about

A birth control diaphragm or cervical cap is sized and fitted, including instruction on its use.

Hospitals typically charge $174 cash for this outpatient procedure — the median across 634 hospitals that filed a usable cash price; the average of the middle 60% is $190. Most fall between $82 and $379 (20th–80th percentile).

Hospitals
634
States
49
Filings dated
Dec 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 634 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$41$98$174$307$604

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($41 vs $604).

How the prices are spread

$30 – $42: 37 hospitals$30$42 – $59: 27 hospitals$59 – $84: 34 hospitals$59$84 – $119: 71 hospitals$119 – $168: 102 hospitals$119$168 – $238: 105 hospitals$238 – $336: 83 hospitals$238$336 – $476: 46 hospitals$476 – $673: 44 hospitals$476$673 – $952: 34 hospitals$673median $174price bands are equal on a log scale
Hospitals per price band (583 of 634 — the bands cover the 5th to 95th percentile)
FromToHospitals
$30$4237
$42$5927
$59$8434
$84$11971
$119$168102
$168$238105
$238$33683
$336$47646
$476$67344
$673$95234

Against Medicare

Medicare pays (OPPS 2026, national rate)$207
Median cash price$174
Cash as a multiple of Medicare0.84×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $174.

Alaska: 5 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $134 across 10 hospitalsVT$134New Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $165 across 18 hospitalsWA$165Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: median $114 across 10 hospitalsMT$114North Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $132 across 24 hospitalsMN$132Illinois: median $150 across 23 hospitalsIL$150Wisconsin: median $176 across 41 hospitalsWI$176Michigan: median $131 across 32 hospitalsMI$131New York: median $238 across 48 hospitalsNY$238Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: median $141 across 21 hospitalsOR$141Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 9 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $174 across 29 hospitalsIA$174Indiana: median $574 across 21 hospitalsIN$574Ohio: median $237 across 17 hospitalsOH$237Pennsylvania: median $140 across 24 hospitalsPA$140New Jersey: median $419 across 30 hospitalsNJ$419Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $467 across 60 hospitalsCA$467Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: median $253 across 11 hospitalsCO$253Nebraska: 7 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $101 across 10 hospitalsMO$101Kentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $233 across 11 hospitalsWV$233Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $96 across 10 hospitalsKS$96Arkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $78 across 13 hospitalsOK$78Louisiana: median $37 across 14 hospitalsLA$37Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 5 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $111 across 26 hospitalsTX$111Florida: 9 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $174. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Indiana IN21$574+229%$92 – $727
California CA60$467+168%$213 – $952
New Jersey NJ30$419+140%$220 – $5,110
Colorado CO11$253+45%$134 – $519
New York NY48$238+37%$95 – $450
Ohio OH17$237+36%$172 – $433
West Virginia WV11$233+33%$143 – $741
Wisconsin WI41$176+1%$117 – $278
Iowa IA29$1740%$77 – $174
Washington WA18$165−6%$122 – $293
Illinois IL23$150−14%$92 – $221
Oregon OR21$141−19%$117 – $186
Pennsylvania PA24$140−20%$31 – $340
Vermont VT10$134−23%$80 – $248
Minnesota MN24$132−24%$79 – $303
Michigan MI32$131−25%$41 – $278
Montana MT10$114−35%$63 – $192
Texas TX26$111−36%$30 – $169
Missouri MO10$101−42%$17 – $149
Kansas KS10$96−45%$53 – $145
Oklahoma OK13$78−55%$78 – $230
Louisiana LA14$37−79%$22 – $175
Florida FL9not enough hospitals filed a usable price
Massachusetts MA9not enough hospitals filed a usable price
South Dakota SD9not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Nebraska NE7not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Alaska AK5not enough hospitals filed a usable price
Alabama AL5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
North Carolina NC5not enough hospitals filed a usable price
North Dakota ND5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Virginia VA3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $174.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care452$187$78 – $462
Children’s9fewer than 20 hospitals
Critical access173$156$92 – $278
Ownership
For-profit38$121$54 – $467
Government106$145$85 – $238
Non-profit490$176$82 – $433
System affiliation
Part of a system509$176$78 – $432
Independent125$148$91 – $260

Cash price vs list price

Median list price (chargemaster)$226
Median cash price$174
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

386 hospitals filed a usable inpatient cash price for this code. The median is $169 and the average of the middle 60% is $196; most fall between $79 and $433.

Cash price percentiles, inpatient, across 386 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$54$92$169$359$622

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($54 vs $622).

Of the 418 hospitals that filed this code inpatient, 386 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 15 a list price only.

How complete is this

634 of the 3,956 hospitals with a price file in our corpus (16%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 694 hospitals that filed this code at all gave us
Usable cash price — counted634
Cash price carrying a plausibility flag — shown on the compare tool, excluded here41
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded18
Hospitals that filed this code694

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between July 20, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other non-OR therapeutic procedures, female organs family.

Hospitals file this code under descriptions such as Diaphragm/Cervical Cap Fitting W/Instructions.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Fitting of a diaphragm or cervical cap (CPT 57170) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-57170-fitting-of-a-diaphragm-or-cervical-cap