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
Revj/Rmvl Prosthetic Vaginal Graft Vaginal App
Low
$619
Average
$3.7k
Median
$3.2k
High
$14.8k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
66 payers; the 90th percentile is 5.4× the 10th. Each bar is a price range and its height is how many payers fall in it. Hover a bar, or a row in the ladder, for details.
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| # | ||||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Aetna fee schedule · outpatient · +28 other terms | 472 | $3.4k | $4.3k | $3.6k | 84% | 1–10 | $79 – $37.3k |
| 2 | UnitedHealthcare fee schedule · outpatient · +30 other terms | 529 | $3.2k | $3.6k | $4.3k | 119% | — | $1 – $93.4k |
| 3 | Blue Cross Blue Shield fee schedule · outpatient · +26 other terms | 372 | $4.2k | $5.3k | $3.8k | 72% | — | $1 – $24.3k |
| 4 | Humana fee schedule · outpatient · +25 other terms | 351 | $3.1k | $2.8k | $1.3k | 48% | — | $1 – $12.8k |
| 5 | Cigna case rate · outpatient · +24 other terms | 322 | $6.3k | $7.1k | $5.6k | 79% | — | $558 – $40.7k |
| 6 | Molina fee schedule · outpatient · +26 other terms | 225 | $2.3k | $2.0k | $1.6k | 79% | — | $1 – $8.8k |
| 7 | WellCare fee schedule · outpatient · +18 other terms | 170 | $3.2k | $3.3k | $1.2k | 38% | — | $87 – $7.5k |
| 8 | Oscar case rate · outpatient · +19 other terms | 137 | $5.6k | $5.4k | $1.6k | 30% | — | $2.4k – $10.1k |
| 9 | Anthem fee schedule · outpatient · +23 other terms | 127 | $3.0k | $2.8k | $3.7k | 130% | — | $390 – $23.7k |
| 10 | Kaiser fee schedule · outpatient · +18 other terms | 98 | $4.0k | $4.7k | $4.0k | 85% | — | $35 – $22.2k |
| 11 | Healthcare Highways case rate · outpatient · +2 other terms | 76 | $3.7k | $4.2k | $967 | 23% | — | $2.7k – $5.5k |
| 12 | Ambetter fee schedule · outpatient · +14 other terms | 75 | $5.6k | $4.7k | $2.4k | 51% | — | $636 – $10.5k |
| 13 | Devoted fee schedule · outpatient · +12 other terms | 73 | $3.2k | $2.9k | $955 | 33% | — | $468 – $3.6k |
| 14 | Aetna Better Health fee schedule · outpatient · +9 other terms | 71 | $1.3k | $1.3k | $460 | 35% | — | $409 – $3.6k |
| 15 | Caresource fee schedule · outpatient · +13 other terms | 60 | $2.9k | $2.5k | $1.1k | 46% | — | $450 – $5.5k |
| 16 | Optum fee schedule · outpatient · +17 other terms | 42 | $2.9k | $3.3k | $2.7k | 84% | — | $486 – $11.9k |
| 17 | Superior Healthplan case rate · outpatient · +5 other terms | 38 | $948 | $1.1k | $665 | 63% | — | $929 – $4.8k |
| 18 | Tricare facility · fee schedule · outpatient · +14 other terms | 35 | $4.1k | $5.3k | $4.7k | 88% | — | $386 – $21.0k |
| 19 | Bcbs Tx fee schedule · outpatient · +2 other terms | 33 | $3.7k | $3.6k | $1.7k | 46% | — | $1.1k – $10.4k |
| 20 | Clover fee schedule · outpatient · +9 other terms | 32 | $3.5k | $3.4k | $211 | 6% | — | $2.9k – $3.8k |
| 21 | First Health fee schedule · outpatient · +22 other terms | 31 | $3.4k | $3.4k | $3.0k | 88% | — | $479 – $10.2k |
| 22 | Regence professional · fee schedule · outpatient · +17 other terms | 30 | $221 | $576 | $466 | 81% | — | $78 – $1.6k |
| 23 | Medica case rate · outpatient · +13 other terms | 28 | $4.0k | $3.4k | $1.2k | 36% | — | $1.1k – $6.3k |
| 24 | Cigna Healthspring fee schedule · outpatient · +7 other terms | 27 | $1.1k | $2.0k | $1.0k | 50% | — | $1.1k – $3.3k |
| 25 | MultiPlan fee schedule · outpatient · +19 other terms | 26 | $5.0k | $4.8k | $735 | 15% | — | $583 – $5.0k |
← Hospitals reporting CPT 57295 · Snapshot 20261112T124536Z-e251e855