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
Syracuse, NY
See all hospitals reporting CPT 58542 →Price type
Crouse Hospital’s median price of $13.3k is 28% above the median hospital's median price ($10.4k), higher than 78% 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, 17 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Excellus govt programs/ special products fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 2 | Molina medicaid hmo fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 3 | UnitedHealthcare essential plans 1 -4 fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 4 | UnitedHealthcare medicaid fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 5 | WellCare medicaid essential plan 3 and 4 fee schedule · outpatient | $1.8k | $1.8k | — | — | — | $1.8k – $1.8k |
| 6 | WellCare medicaid essential plan 1 and 2 fee schedule · outpatient | $2.2k | $2.2k | — | — | — | $2.2k – $2.2k |
| 7 | Molina essential fee schedule · outpatient | $4.1k | $4.1k | — | — | — | $4.1k – $4.1k |
| 8 | UnitedHealthcare commerical percent of total billed charges · outpatientfrom % of charges | $4.8k | $4.8k | — | — | 1–10 | $4.8k – $4.8k |
| 9 | Excellus medicare advantage fee schedule · outpatient | $11.6k | $11.6k | — | — | — | $11.6k – $11.6k |
| 10 | Aetna medicare fee schedule · outpatient | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 11 | Humana medicare advantage fee schedule · outpatient | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 12 | UnitedHealthcare medicare fee schedule · outpatient | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 13 | WellCare medicare advantage fee schedule · outpatient | $13.9k | $13.9k | — | — | — | $13.9k – $13.9k |
| 14 | Excellus bcbs fee schedule · outpatient | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
| 15 | Excellus hospital blue fee schedule · outpatient | $23.8k | $23.8k | — | — | — | $23.8k – $23.8k |
| 16 | Aetna commerical percent of total billed charges · outpatientfrom % of charges | $24.8k | $24.8k | — | — | 1–10 | $24.8k – $24.8k |
| 17 | Aetna raymour furniture company percent of total billed charges · outpatientfrom % of charges | $24.8k | $24.8k | — | — | 1–10 | $24.8k – $24.8k |
Last updated: May 19, 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.