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
PR HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS
Boulder, CO
See all hospitals reporting CPT 58565 →Price type
Boulder Community Health’s median price of $824 is 84% below the median hospital's median price ($5.3k), higher than 7% of the 1,570 hospitals reporting CPT 58565. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 28 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 | Aetna medicare advantage professional · case rate · both | $406 | $406 | — | — | — | $406 – $406 |
| 2 | Anthem medicare advantage professional · fee schedule · both | $406 | $406 | — | — | — | $406 – $406 |
| 3 | Devoted medicare advantage professional · fee schedule · both | $406 | $406 | — | — | — | $406 – $406 |
| 4 | Humana medicare advantage professional · fee schedule · both | $406 | $406 | — | — | — | $406 – $406 |
| 5 | Kaiser medicare advantage professional · fee schedule · both | $504 | $504 | — | — | — | $504 – $504 |
| 6 | Anthem commercial professional · fee schedule · both | $573 | $629 | $90 | 14% | — | $573 – $771 |
| 7 | Kaiser commercial professional · fee schedule · both | $642 | $642 | — | — | — | $642 – $642 |
| 8 | MultiPlan commercial professional · fee schedule · both | $707 | $707 | — | — | — | $707 – $707 |
| 9 | Phcs commercial professional · fee schedule · both | $707 | $707 | — | — | — | $707 – $707 |
| 10 | Cigna commercial professional · percent of total billed charges · bothfrom % of charges | $733 | $733 | — | — | — | $733 – $733 |
| 11 | Cigna commercial facility · fee schedule · outpatient | $745 | $745 | — | — | — | $745 – $745 |
| 12 | Anthem managed care professional · fee schedule · both | $771 | $771 | — | — | — | $771 – $771 |
| 13 | Cigna commercial professional · fee schedule · both | $777 | $777 | — | — | — | $777 – $777 |
| 14 | Aetna commercial professional · fee schedule · both | $883 | $883 | — | — | — | $883 – $883 |
| 15 | Aetna ppo professional · fee schedule · both | $883 | $883 | — | — | — | $883 – $883 |
| 16 | UnitedHealthcare commercial professional · fee schedule · both | $899 | $899 | — | — | — | $899 – $899 |
| 17 | UnitedHealthcare medicare advantage professional · fee schedule · both | $2.9k | $2.9k | $2.5k | 86% | — | $406 – $5.3k |
| 18 | Aetna medicare advantage facility · case rate · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 19 | Anthem medicare advantage facility · case rate · outpatient | $5.3k | $5.3k | — | — | — | $5.3k – $5.3k |
| 20 | Humana medicare advantage facility · case rate · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 21 | UnitedHealthcare medicare advantage facility · case rate · outpatient | $5.4k | $5.4k | — | — | — | $5.4k – $5.4k |
| 22 | Kaiser medicare advantage facility · case rate · outpatient | $5.5k | $5.5k | $27 | 0% | — | $5.4k – $5.5k |
| 23 | Devoted medicare advantage facility · case rate · outpatient | $5.5k | $5.5k | — | — | — | $5.5k – $5.5k |
| 24 | Kaiser commercial facility · case rate · outpatient | $11.6k | $11.6k | $1.4k | 12% | — | $10.2k – $13.1k |
| 25 | Kaiser managed care facility · case rate · outpatient | $12.9k | $12.9k | — | — | — | $12.9k – $12.9k |
Last updated: Sep 16, 2026
See Hysteroscopic permanent tubal blockage with implants pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.