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 Lap Surg W Vag Hyst Uterus 250g or Less W Rem Tube & Ovary|ASSISTANT AT SURGERY SERVICE
Silver Spring, MD
See all hospitals reporting CPT 58552 →Price type
Holy Cross Hospital-Silver Spring’s median price of $340 is 97% below the median hospital's median price ($10.3k), higher than 1% of the 1,906 hospitals reporting CPT 58552. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 34 payers, 41 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 | Humana tricare professional · fee schedule · inpatient | $247 | $247 | $188 | 76% | — | $59 – $434 |
| 2 | Tricare tricare professional · fee schedule · inpatient | $247 | $247 | $188 | 76% | — | $59 – $434 |
| 3 | Aetna aetna medicare advantage professional · fee schedule · both | $272 | $272 | $197 | 72% | — | $75 – $470 |
| 4 | Humana tricare professional · fee schedule · both | $296 | $296 | $215 | 72% | — | $82 – $511 |
| 5 | Humana tricare professional · fee schedule · outpatient | $296 | $296 | $215 | 72% | — | $82 – $511 |
| 6 | Tricare tricare professional · fee schedule · both | $296 | $296 | $215 | 72% | — | $82 – $511 |
| 7 | Tricare tricare professional · fee schedule · outpatient | $296 | $296 | $215 | 72% | — | $82 – $511 |
| 8 | Aetna aetna professional · fee schedule · both | $423 | $423 | $306 | 72% | — | $117 – $729 |
| 9 | Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 10 | Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 11 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 12 | Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 13 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 14 | Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 15 | Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 16 | Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 17 | Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 18 | Devoted pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 19 | Excellus pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 20 | First Health pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 21 | Highmark pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 22 | Humana pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 23 | Kaiser pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 24 | Magellan pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
| 25 | Medcost pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $1.2k | $1.2k | $894 | 72% | — | $340 – $2.1k |
Last updated: Mar 31, 2026
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