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 LYSIS OF ADHESIONS SALPINX/OVARY
Hilo, HI
See all hospitals reporting CPT 58740 →Price type
Hilo Benioff Medical Center’s median price of $913 is 73% below the median hospital's median price ($3.4k), higher than 18% of the 1,342 hospitals reporting CPT 58740. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 6 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 | UnitedHealthcare medicare professional · fee schedule · both | $817 | $817 | — | — | — | $817 – $817 |
| 2 | Devoted medicare professional · fee schedule · both | $899 | $899 | — | — | — | $899 – $899 |
| 3 | UnitedHealthcare medicaid professional · fee schedule · both | $913 | $913 | — | — | — | $913 – $913 |
| 4 | Kaiser commercial professional · fee schedule · both | $981 | $981 | — | — | — | $981 – $981 |
| 5 | Kaiser medicaid professional · fee schedule · both | $981 | $981 | — | — | — | $981 – $981 |
| 6 | Kaiser medicare professional · fee schedule · both | $981 | $981 | — | — | — | $981 – $981 |
Last updated: Jun 15, 2026
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