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
LSH W/T/O UT 250 G OR LESS
Arlington, TX
See all hospitals reporting CPT 58542 →Price type
AMH Cath Labs LLC’s median price of $11.1k is 7% above the median hospital's median price ($10.4k), higher than 61% of the 1,776 hospitals reporting CPT 58542. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 6 payers, 19 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield managed medicaid fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 2 | UnitedHealthcare managed medicaid fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 3 | WellCare managed medicaid fee schedule · outpatient | $3.3k | $3.3k | — | — | — | $3.3k – $3.3k |
| 4 | Molina managed medicaid fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 5 | Aetna managed medicaid fee schedule · outpatient | $3.4k | $3.4k | — | — | — | $3.4k – $3.4k |
| 6 | Blue Cross Blue Shield exchange case rate · outpatient | $9.7k | $9.7k | — | — | — | $9.7k – $9.7k |
| 7 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $10.7k | $10.7k | — | — | — | $10.7k – $10.7k |
| 8 | Humana medicare advantage case rate · outpatient | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 9 | Humana medicare advantage ppo case rate · outpatient | $11.1k | $11.1k | — | — | — | $11.1k – $11.1k |
| 10 | Molina medicare advantage case rate · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 11 | WellCare medicare advantage hmo case rate · outpatient | $11.2k | $11.2k | — | — | — | $11.2k – $11.2k |
| 12 | WellCare medicare advantage mmp case rate · outpatient | $11.8k | $11.8k | — | — | — | $11.8k – $11.8k |
| 13 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $11.9k | $11.9k | — | — | — | $11.9k – $11.9k |
| 14 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $12.1k | $12.1k | — | — | — | $12.1k – $12.1k |
| 15 | UnitedHealthcare all payer case rate · outpatient | $17.0k | $17.0k | — | — | — | $17.0k – $17.0k |
| 16 | Blue Cross Blue Shield hmo case rate · outpatient | $19.8k | $19.8k | — | — | — | $19.8k – $19.8k |
| 17 | UnitedHealthcare ppo case rate · outpatient | $21.6k | $21.6k | — | — | — | $21.6k – $21.6k |
| 18 | Blue Cross Blue Shield ppo case rate · outpatient | $22.0k | $22.0k | — | — | — | $22.0k – $22.0k |
| 19 | Blue Cross Blue Shield traditional case rate · outpatient | $70.3k | $70.3k | — | — | — | $70.3k – $70.3k |
Last updated: Apr 21, 2026
See Laparoscopic hysterectomy with removal of tubes and/or ovaries pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.