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
Laps Total Hysterect 250 Gm/< W/Rmvl Tube/Ovary
Low
$149
Average
$2.8k
Median
$2.3k
High
$9.3k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
92 hospitals; the 90th percentile is 37.8× 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.
Filter by billing methodology
Filter by billing class
142 hospital rates
iThe hospitals that file a Medicaid 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 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH LAFAYETTE LAFAYETTE, IN fee schedule · outpatient | 2 | $4.7k | $4.7k | $432 | 9% | 41–59 | $4.3k – $5.2k |
| 2 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH INDIANAPOLIS INDIANAPOLIS, IN fee schedule · outpatient | 2 | $4.7k | $4.7k | $432 | 9% | 26–35 | $4.3k – $5.2k |
| 3 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CRAWFORDSVILLE CRAWFORDSVILLE, IN fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | 11 | $4.3k – $4.3k |
| 4 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · outpatient | 1 | $3.8k | $3.8k | — | — | 3–30 | $3.8k – $3.8k |
| 5 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN fee schedule · outpatient | 2 | $4.7k | $4.7k | $432 | 9% | 2–20 | $4.3k – $5.2k |
| 6 | Dupont Hospital LLC Wayne, IN facility · other · outpatient | 1 | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 7 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN fee schedule · outpatient | 1 | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 8 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN fee schedule · outpatient | 2 | $4.7k | $4.7k | $432 | 9% | 1–10 | $4.3k – $5.2k |
| 9 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MOORESVILLE MOORESVILLE, IN fee schedule · outpatient | 2 | $4.7k | $4.7k | $432 | 9% | 1–10 | $4.3k – $5.2k |
| 10 | IOM Health System LP Fort Wayne, IN facility · other · outpatient | 1 | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 11 | Maple Grove Hospital Corporation Grove, MN facility · other · outpatient | 1 | $8.5k | $8.5k | — | — | 1–10 | $8.5k – $8.5k |
| 12 | Warsaw Health System LLC Warsaw, IN facility · other · outpatient | 1 | $4.3k | $4.3k | — | — | 1–10 | $4.3k – $4.3k |
| 13 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 14 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 1 | $149 | $149 | — | — | — | $149 – $149 |
| 15 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $160 | $160 | — | — | — | $160 – $160 |
| 16 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $730 | $730 | — | — | — | $730 – $730 |
| 17 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $3.8k | $3.8k | — | — | — | $3.8k – $3.8k |
| 18 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $699 | $699 | — | — | — | $699 – $699 |
| 19 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 1 | $59 | $132 | $138 | 105% | — | $39 – $371 |
| 20 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $371 | $371 | — | — | — | $371 – $371 |
| 21 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $59 | $156 | $152 | 97% | — | $39 – $371 |
| 22 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $608 | $608 | — | — | — | $608 – $608 |
| 23 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 1 | $5.0k | $5.0k | — | — | — | $5.0k – $5.0k |
| 24 | Granbury Hospital Corporation Granbury, TX facility · fee schedule · outpatient | 1 | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 25 | Greater Baltimore Medical Center Towson, MD professional · fee schedule · inpatient | 1 | $948 | $948 | — | — | — | $948 – $948 |
← Payers reporting CPT 58571 · Snapshot 20261111T120946Z-9134e7f7