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
Waco, TX
See all hospitals reporting CPT 58542 →Price type
Ascension Providence’s median price of $3.1k is 70% below the median hospital's median price ($10.4k), higher than 21% of the 1,761 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: 5 payers, 12 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 975_bcbs star outpatient 20241201 fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 2 | Molina 908_molina chip outpatient 20241201 fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 3 | Superior Healthplan 904_superior star outpatient 20241201 fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 4 | Superior Healthplan 907_superior star plus outpatient 20241201 fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 5 | UnitedHealthcare 906_uhc star plus outpatient 20241201 fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 6 | UnitedHealthcare 909_uhc star kids outpatient 20241201 fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 7 | UnitedHealthcare 928_uhc star outpatient 20250701 fee schedule · outpatient | $3.1k | $3.1k | — | — | — | $3.1k – $3.1k |
| 8 | Blue Cross Blue Shield 872_blue cross blue shield myblueheath 20250101 fee schedule · outpatient | $6.7k | $6.7k | — | — | — | $6.7k – $6.7k |
| 9 | Cigna 930_cigna 20250701 other · outpatient | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 10 | Blue Cross Blue Shield 871_blue cross blue shield advantage hmo 20250101 fee schedule · outpatient | $8.4k | $8.4k | — | — | — | $8.4k – $8.4k |
| 11 | Blue Cross Blue Shield 870_blue cross blue shield hmo essentials 20250101 fee schedule · outpatient | $14.3k | $14.3k | — | — | — | $14.3k – $14.3k |
| 12 | Blue Cross Blue Shield 869_blue cross blue shield ppo 20250101 fee schedule · outpatient | $15.9k | $15.9k | — | — | — | $15.9k – $15.9k |
Last updated: Jan 1, 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.