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
LYSIS OF ADHESIONS SALPINX/OVARY
Hackensack, NJ
See all hospitals reporting CPT 58740 →Price type
Hmh Hospitals Corporation’s median price of $4.4k is 30% above the median hospital's median price ($3.4k), higher than 60% 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: 6 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 | Clover medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $882 | $882 | — | — | — | $882 – $882 |
| 2 | Optum managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 3 | Aetna managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $1.2k | $1.2k | — | — | — | $1.2k – $1.2k |
| 4 | Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 5 | Cigna bh facility · percent of total billed charges · outpatientfrom % of charges | $3.9k | $3.9k | — | — | — | $3.9k – $3.9k |
| 6 | MultiPlan all products facility · percent of total billed charges · outpatientfrom % of charges | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 7 | Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 8 | Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges | $4.5k | $4.5k | — | — | — | $4.5k – $4.5k |
| 9 | Aetna asa facility · case rate · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 10 | Aetna hmo facility · case rate · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 11 | Aetna ppo facility · case rate · outpatient | $7.8k | $7.8k | — | — | — | $7.8k – $7.8k |
| 12 | UnitedHealthcare hmo facility · case rate · outpatient | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
Last updated: Dec 31, 2025
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