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
$1.2k
Average
$4.9k
Median
$4.7k
High
$15.2k
Each payer's average rate across its hospitals, under the methodology and billing class chosen below.
65 payers; the 90th percentile is 3.8× 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 | Humana fee schedule · outpatient · +24 other terms | 308 | $5.0k | $4.9k | $2.2k | 44% | 6–60 | $1 – $24.6k |
| 2 | Aetna fee schedule · outpatient · +26 other terms | 458 | $5.3k | $6.5k | $5.2k | 80% | 2–20 | $79 – $53.3k |
| 3 | Cigna case rate · outpatient · +23 other terms | 322 | $10.0k | $10.3k | $5.0k | 48% | 2–20 | $1.5k – $40.7k |
| 4 | Anthem fee schedule · outpatient · +19 other terms | 124 | $4.8k | $5.0k | $5.9k | 117% | 2–20 | $896 – $36.6k |
| 5 | Optum fee schedule · outpatient · +15 other terms | 41 | $4.5k | $5.1k | $4.3k | 84% | 1–10 | $955 – $18.5k |
| 6 | First Health fee schedule · outpatient · +20 other terms | 25 | $5.2k | $7.0k | $3.9k | 55% | 1–10 | $947 – $13.8k |
| 7 | UnitedHealthcare fee schedule · outpatient · +28 other terms | 448 | $5.0k | $6.4k | $7.1k | 111% | — | $167 – $145.1k |
| 8 | Blue Cross Blue Shield fee schedule · outpatient · +25 other terms | 370 | $6.8k | $8.7k | $5.0k | 57% | — | $1 – $41.4k |
| 9 | Molina fee schedule · outpatient · +20 other terms | 161 | $4.8k | $5.0k | $2.9k | 58% | — | $1 – $13.5k |
| 10 | WellCare fee schedule · outpatient · +19 other terms | 151 | $5.2k | $5.3k | $1.9k | 35% | — | $173 – $11.6k |
| 11 | Oscar case rate · outpatient · +18 other terms | 130 | $7.2k | $6.9k | $1.9k | 27% | — | $3.1k – $13.8k |
| 12 | Kaiser fee schedule · outpatient · +18 other terms | 98 | $6.3k | $7.5k | $6.2k | 83% | — | $70 – $36.5k |
| 13 | Healthcare Highways case rate · outpatient · +1 other terms | 76 | $5.1k | $5.5k | $554 | 10% | — | $3.4k – $6.3k |
| 14 | Devoted fee schedule · outpatient · +11 other terms | 73 | $5.1k | $4.6k | $1.4k | 31% | — | $915 – $5.6k |
| 15 | Ambetter facility · fee schedule · outpatient · +15 other terms | 59 | $8.5k | $8.7k | $2.3k | 27% | — | $1.4k – $15.3k |
| 16 | Caresource fee schedule · outpatient · +14 other terms | 41 | $5.1k | $5.3k | $1.7k | 32% | — | $450 – $8.5k |
| 17 | Superior Healthplan case rate · outpatient · +4 other terms | 38 | $948 | $1.1k | $1.1k | 98% | — | $929 – $7.4k |
| 18 | Tricare other · outpatient · +14 other terms | 33 | $4.5k | $5.1k | $2.7k | 52% | — | $980 – $8.6k |
| 19 | Bcbs Tx fee schedule · outpatient · +2 other terms | 32 | $6.3k | $6.5k | $2.7k | 41% | — | $3.3k – $17.7k |
| 20 | Clover fee schedule · outpatient · +12 other terms | 32 | $5.4k | $5.3k | $324 | 6% | — | $4.5k – $5.9k |
| 21 | Regence professional · fee schedule · outpatient · +16 other terms | 29 | $493 | $1.1k | $872 | 83% | — | $156 – $3.1k |
| 22 | Medica case rate · outpatient · +14 other terms | 28 | $4.5k | $4.3k | $1.6k | 36% | — | $1.4k – $8.2k |
| 23 | Bcbs La fee schedule · outpatient · +2 other terms | 25 | $6.3k | $6.4k | $1.9k | 30% | — | $3.1k – $12.2k |
| 24 | Medicare fee schedule · outpatient · +15 other terms | 25 | $955 | $2.2k | $1.9k | 85% | — | $878 – $5.1k |
| 25 | MultiPlan fee schedule · outpatient · +16 other terms | 24 | $8.0k | $7.8k | $939 | 12% | — | $1.1k – $8.0k |
← Hospitals reporting CPT 58263 · Snapshot 20261112T181611Z-3fa9fb76