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 Total Hysterectomy for Uterus 250g or Less|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
Silver Spring, MD
See all hospitals reporting CPT 58570 →Price type
Holy Cross Hospital-Silver Spring’s median price of $281 is 97% below the median hospital's median price ($10.4k), higher than 1% of the 1,880 hospitals reporting CPT 58570. 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, 111 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 | Aetna aetna medicare advantage professional · fee schedule · both | $63 | $63 | — | — | — | $63 – $63 |
| 2 | Aetna aetna medicare advantage professional · fee schedule · outpatient | $63 | $63 | — | — | — | $63 – $63 |
| 3 | Humana tricare professional · fee schedule · both | $68 | $68 | — | — | — | $68 – $68 |
| 4 | Tricare tricare professional · fee schedule · both | $68 | $68 | — | — | — | $68 – $68 |
| 5 | Aetna aetna professional · fee schedule · both | $96 | $96 | — | — | — | $96 – $96 |
| 6 | Aetna aetna professional · fee schedule · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 7 | Humana tricare professional · fee schedule · outpatient | $68 | $186 | $167 | 90% | — | $68 – $422 |
| 8 | Tricare tricare professional · fee schedule · outpatient | $68 | $186 | $167 | 90% | — | $68 – $422 |
| 9 | Humana tricare professional · fee schedule · inpatient | $359 | $277 | $163 | 59% | — | $49 – $422 |
| 10 | Tricare tricare professional · fee schedule · inpatient | $359 | $277 | $163 | 59% | — | $49 – $422 |
| 11 | Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 12 | Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 13 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 14 | Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 15 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 16 | Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 17 | Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 18 | Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 19 | Clover pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 20 | Devoted pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 21 | Excellus pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 22 | First Health pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 23 | Highmark pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 24 | Humana pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
| 25 | Kaiser pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $281 | $281 | — | — | — | $281 – $281 |
Last updated: Mar 31, 2026
See Laparoscopic total hysterectomy for uterus up to 250 g pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.