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
Vag Hyst 250 Gm/< W/Rmvl Tube&/Ovary
Low
$428
Average
$7.2k
Median
$6.5k
High
$35.0k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
405 hospitals; the 90th percentile is 9.5× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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669 hospital rates
iThe hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Tanner Medical Center - Villa Rica Villa Rica, GA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $13.5k | $10.8k | $4.2k | 39% | 16–34 | $4.9k – $14.0k |
| 2 | University of Virginia Medical Center Charlottesville, VA other · both | 2 | $15.0k | $13.8k | $1.7k | 13% | 12–21 | $11.3k – $15.0k |
| 3 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI case rate · outpatient | 2 | $6.4k | $6.4k | $5.6k | 88% | 4–40 | $747 – $12k |
| 4 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI case rate · outpatient | 2 | $10.3k | $10.3k | $1.5k | 14% | 4–40 | $8.8k – $11.8k |
| 5 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 2 | $4.3k | $4.3k | — | — | 2–20 | $4.3k – $4.3k |
| 6 | HOSPITAL OF CENTRAL CONNECTICUT AT NEW BRITAIN D/B/A THE HOSPITAL OF CENTRAL CONNECTICUT SOUTHINGTON, CT percent of total billed charges · outpatientfrom % of charges | 2 | $21.3k | $21.3k | $2.7k | 13% | 2–20 | $18.6k – $24.0k |
| 7 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI fee schedule · outpatient | 1 | $7.1k | $7.1k | — | — | 2–20 | $7.1k – $7.1k |
| 8 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI fee schedule · outpatient | 1 | $4.7k | $4.7k | — | — | 2–20 | $4.7k – $4.7k |
| 9 | THE WILLIAM W BACKUS HOSPITAL PLAINFIELD, CT case rate · outpatient | 2 | $8.9k | $8.9k | $1.3k | 14% | 2–20 | $7.6k – $10.2k |
| 10 | Columbus Regional Hospital Columbus, IN other · outpatient | 1 | $5.2k | $5.2k | — | — | 1–10 | $5.2k – $5.2k |
| 11 | Columbus Regional Hospital Columbus, IN percent of total billed charges · outpatientfrom % of charges | 1 | $17.9k | $17.9k | — | — | 1–10 | $17.9k – $17.9k |
| 12 | DIGNITY COMMUNITY CARE San Luis Obispo, CA percent of total billed charges · outpatientfrom % of charges | 1 | $18.0k | $18.0k | — | — | 1–10 | $18.0k – $18.0k |
| 13 | DIGNITY COMMUNITY CARE Los Angeles, CA fee schedule · outpatient | 2 | $3.9k | $3.9k | $2.4k | 62% | 1–10 | $1.4k – $6.3k |
| 14 | DIGNITY HEALTH Carmichael, CA fee schedule · outpatient | 3 | $6.1k | $5.0k | $2.0k | 40% | 1–10 | $2.2k – $6.7k |
| 15 | DIGNITY HEALTH Sacramento, CA fee schedule · outpatient | 3 | $6.1k | $5.0k | $2.0k | 40% | 1–10 | $2.2k – $6.7k |
| 16 | HARTFORD HOSPITAL HARTFORD, CT percent of total billed charges · outpatientfrom % of charges | 1 | $21.1k | $21.1k | — | — | 1–10 | $21.1k – $21.1k |
| 17 | La Porte Hospital Company LLC La Porte, IN facility · other · outpatient | 2 | $4.8k | $4.8k | $494 | 10% | 1–10 | $4.3k – $5.3k |
| 18 | St Joseph Mercy Ann Arbor Ypsilanti, MI facility · fee schedule · outpatient | 1 | $7.5k | $7.5k | — | — | 1–10 | $7.5k – $7.5k |
| 19 | University of Virginia Haymarket Medical Center Haymarket, VA other · both | 2 | $14.5k | $13.0k | $2.0k | 16% | 1–10 | $10.1k – $14.5k |
| 20 | University of Virginia Haymarket Medical Center Haymarket, VA other · outpatient | 3 | $12.3k | $11.1k | $3.8k | 35% | 1–10 | $5.2k – $14.5k |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 3 | $11.9k | $10.2k | $4.0k | 39% | — | $4.7k – $14.0k |
| 23 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 6 | $2.2k | $2.1k | $1.0k | 49% | — | $805 – $3.2k |
| 24 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $1.4k | $1.4k | — | — | — | $1.4k – $1.4k |
| 25 | Acadia Hospital Bangor, ME facility · case rate · outpatient | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
← Payers reporting CPT 58262 · Snapshot 20261111T120946Z-9134e7f7