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 W/Rpr Ntrcl
Low
$0
Average
$4.9k
Median
$4.5k
High
$35k
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects a payer-specific billing methodology not covered by the standard categories.
Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 141 hospitals; the 90th percentile is 9.0× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Northwestern Lake Forest Hospital Lake Forest, IL | $11.5k | $11.5k | — | — | 5–50 | $11.5k – $11.5k |
| 2 | Covenant Medical Center Inc Saginaw, MI | $4.0k | $4.0k | — | — | 2–20 | $4.0k – $4.0k |
| 3 | St. Lukes Hospital of Kansas City City, KS | $312 | $312 | — | — | 1–10 | $312 – $312 |
| 4 | St. Joseph Medical Center Bellingham, WA | $6.2k | $10.4k | $9.8k | 95% | 1–10 | $2.8k – $36.2k |
| 5 | MVHS, Inc. Utica, NY | $9.3k | $10.4k | $3.9k | 37% | 1–10 | $8.3k – $26.6k |
| 6 | St Joseph Mercy Ann Arbor Ypsilanti, MI | $5.0k | $5.2k | $1.5k | 29% | 1–10 | $2.8k – $7.8k |
| 7 | OU Health - University of Oklahoma Medical Center Oklahoma City, OK | $4.9k | $5.5k | $1.6k | 30% | — | $4.8k – $10.0k |
| 8 | San Joaquin Community Hospital Bakersfield, CA | $6.4k | $6.4k | — | — | — | $6.4k – $6.4k |
| 9 | Henry Ford Health Novi, MI | $1.2k | $1.3k | $101 | 8% | — | $1.2k – $1.4k |
| 10 | Piney Woods Healthcare System LP Lufkin, TX | $11.0k | $10.0k | $4.0k | 40% | — | $3.4k – $15.4k |
Ask Claude or any MCP client for CPT 58263 pricing at a specific hospital — see how to connect.