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
Average
$6.3k
Median
$5.6k
High
$90.2k
Each hospital's average UnitedHealthcare rate, under the methodology and billing class chosen below.
1217 hospitals; the 90th percentile is 8.3× 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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1,707 hospital rates
iThe hospitals that file a UnitedHealthcare 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 | FLAGET HEALTHCARE, INC Bardstown, KY percent of total billed charges · outpatientfrom % of charges | 2 | $23.3k | $23.3k | — | — | 2–20 | $23.3k – $23.3k |
| 2 | Mon Health Medical Center Morgantown, WV percent of total billed charges · outpatientfrom % of charges | 1 | $35.9k | $35.9k | $1.5k | 4% | 2–20 | $33.6k – $38.3k |
| 3 | Northwestern Lake Forest Hospital Grayslake, IL case rate · outpatient | 2 | $6.5k | $6.5k | $342 | 5% | 2–20 | $6.2k – $6.8k |
| 4 | Northwestern Memorial Hospital Chicago, IL percent of total billed charges · outpatientfrom % of charges | 2 | $90.2k | $90.2k | — | — | 2–20 | $90.2k – $90.2k |
| 5 | St. Lukes Hospital of Kansas City City, KS case rate · outpatient | 2 | $7.9k | $7.9k | $6.7k | 85% | 2–20 | $1.2k – $14.6k |
| 6 | BETHESDA HOSPITAL BOYNTON BEACH, FL case rate · outpatient | 1 | $2.3k | $2.3k | — | — | 1–10 | $2.3k – $2.3k |
| 7 | Crouse Hospital Syracuse, NY percent of total billed charges · outpatientfrom % of charges | 1 | $5.3k | $5.3k | — | — | 1–10 | $5.3k – $5.3k |
| 8 | DIGNITY HEALTH Phoenix, AZ percent of total billed charges · outpatientfrom % of charges | 1 | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 9 | Memorial Hospital West Pembroke Pines, FL facility · percent of total billed charges · outpatientfrom % of charges | 1 | $5.4k | $5.4k | — | — | 1–10 | $5.4k – $5.4k |
| 10 | Northwestern Lake Forest Hospital Grayslake, IL percent of total billed charges · outpatientfrom % of charges | 1 | $90.2k | $90.2k | — | — | 1–10 | $90.2k – $90.2k |
| 11 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI case rate · outpatient | 1 | $4.0k | $4.0k | — | — | 1–10 | $4.0k – $4.0k |
| 12 | Saint Marys Hospital Passaic, NJ percent of total billed charges · outpatientfrom % of charges | 1 | $4.1k | $4.1k | — | — | 1–10 | $4.1k – $4.1k |
| 13 | The Presbyterian Hospital Huntersville, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1.1k | $1.1k | — | — | 1–10 | $1.1k – $1.1k |
| 14 | ACADIA GENERAL HOSPITAL, INC 1305 CROWLEY RAYNE HWY case rate · outpatient | 1 | $2.9k | $2.9k | $1.6k | 55% | — | $1.3k – $4.5k |
| 15 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 3 | $1.3k | $1.2k | $209 | 18% | — | $871 – $1.3k |
| 16 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 3 | $1.3k | $1.2k | $225 | 19% | — | $863 – $1.3k |
| 17 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 3 | $1.3k | $1.2k | $213 | 18% | — | $863 – $1.3k |
| 18 | AGH LAVEEN LLC Phoenix, AZ fee schedule · outpatient | 5 | $3.6k | $3.9k | $1.9k | 50% | — | $1.0k – $6.5k |
| 19 | AGH MESA LLC Mesa, AZ fee schedule · outpatient | 5 | $3.6k | $3.9k | $1.9k | 50% | — | $1.0k – $6.5k |
| 20 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $2.8k | $2.8k | — | — | — | $2.8k – $2.8k |
| 21 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 1 | $4.6k | $4.6k | — | — | — | $4.6k – $4.6k |
| 22 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 5 | $2.5k | $2.0k | $942 | 48% | — | $761 – $2.9k |
| 23 | ALBANY MEDICAL CENTER HOSPITAL Albany, NY professional · fee schedule · outpatient | 8 | $1.9k | $1.7k | $494 | 29% | — | $928 – $2.2k |
| 24 | ALEGENT CREIGHTON HEALTH Papillion, NE case rate · outpatient | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
| 25 | ALEGENT CREIGHTON HEALTH Omaha, NE case rate · outpatient | 1 | $4.8k | $4.8k | — | — | — | $4.8k – $4.8k |
← Payers reporting CPT 58263 · Snapshot 20261112T181611Z-3fa9fb76