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
58571,80 TLH W/T/O 250 G OR LESS
Peru, IN
See all hospitals reporting CPT 58571 →Price type
Dukes Health System LLC’s median price of $774 is 93% below the median hospital's median price ($10.4k), higher than 4% of the 1,997 hospitals reporting CPT 58571. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 10 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 | Tricare node tricare facility · fee schedule · outpatient | $330 | $376 | $240 | 64% | — | $112 – $733 |
| 2 | Anthem node anthem in mcr select facility · fee schedule · outpatient | $351 | $400 | $255 | 64% | — | $119 – $779 |
| 3 | Humana node humana mcr adv facility · fee schedule · outpatient | $351 | $400 | $255 | 64% | — | $119 – $779 |
| 4 | UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient | $351 | $400 | $255 | 64% | — | $119 – $779 |
| 5 | Anthem anthem in hip facility · fee schedule · outpatient | $356 | $406 | $259 | 64% | — | $121 – $792 |
| 6 | Anthem node anthem in mcr adv facility · fee schedule · outpatient | $356 | $406 | $259 | 64% | — | $121 – $792 |
| 7 | Optum node united optum va ccn facility · per diem · outpatient | $356 | $406 | $259 | 64% | — | $121 – $792 |
| 8 | Aetna node aetna mcr adv facility · fee schedule · outpatient | $358 | $408 | $260 | 64% | — | $122 – $795 |
| 9 | Devoted node devoted health mcr adv facility · fee schedule · outpatient | $358 | $408 | $260 | 64% | — | $122 – $795 |
| 10 | Anthem node anthem essentials marketplace facility · fee schedule · outpatient | $534 | $610 | $388 | 64% | — | $182 – $1.2k |
| 11 | Anthem anthem in work comp facility · other · outpatient | $570 | $650 | $414 | 64% | — | $194 – $1.3k |
| 12 | Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges | $641 | $731 | $466 | 64% | — | $218 – $1.4k |
| 13 | Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges | $641 | $731 | $466 | 64% | — | $218 – $1.4k |
| 14 | Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges | $641 | $731 | $466 | 64% | — | $218 – $1.4k |
| 15 | Aetna aetna pssd jj facility · percent of total billed charges · outpatientfrom % of charges | $641 | $731 | $466 | 64% | — | $218 – $1.4k |
| 16 | Cigna cigna all facility · percent of total billed charges · outpatientfrom % of charges | $755 | $861 | $549 | 64% | — | $257 – $1.7k |
| 17 | Aetna aetna all facility · percent of total billed charges · outpatientfrom % of charges | $848 | $967 | $616 | 64% | — | $288 – $1.9k |
| 18 | UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges | $876 | $1000 | $637 | 64% | — | $298 – $1.9k |
| 19 | First Health first health facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.6k | $1.0k | 64% | — | $485 – $3.2k |
| 20 | First Health first health facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.6k | $1.0k | 64% | — | $485 – $3.2k |
| 21 | MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.6k | $1.0k | 64% | — | $491 – $3.2k |
| 22 | MultiPlan multiplan complementary facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.6k | $1.0k | 64% | — | $491 – $3.2k |
| 23 | MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges | $1.4k | $1.6k | $1.0k | 64% | — | $491 – $3.2k |
| 24 | MultiPlan multiplan primary facility · percent of total billed charges · outpatientfrom % of charges | $1.4k | $1.6k | $1.0k | 64% | — | $491 – $3.2k |
| 25 | Cigna cigna indemnity facility · percent of total billed charges · outpatientfrom % of charges | $1.8k | $2.0k | $1.3k | 64% | — | $606 – $4.0k |
Last updated: Apr 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.