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 > Than 250g W Rem Tube & Ovary|ASSISTANT AT SURGERY SERVICE
Silver Spring, MD
See all hospitals reporting CPT 58573 →Price type
Holy Cross Hospital-Silver Spring’s median price of $423 is 96% below the median hospital's median price ($10.5k), higher than 1% of the 1,923 hospitals reporting CPT 58573. 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 | Aetna aetna medicare advantage professional · fee schedule · both | $95 | $95 | — | — | — | $95 – $95 |
| 2 | Humana tricare professional · fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 3 | Tricare tricare professional · fee schedule · both | $101 | $101 | — | — | — | $101 – $101 |
| 4 | Aetna aetna professional · fee schedule · both | $145 | $145 | — | — | — | $145 – $145 |
| 5 | Humana tricare professional · fee schedule · inpatient | $306 | $306 | $233 | 76% | — | $73 – $539 |
| 6 | Tricare tricare professional · fee schedule · inpatient | $306 | $306 | $233 | 76% | — | $73 – $539 |
| 7 | Humana tricare professional · fee schedule · outpatient | $368 | $368 | $266 | 72% | — | $101 – $634 |
| 8 | Tricare tricare professional · fee schedule · outpatient | $368 | $368 | $266 | 72% | — | $101 – $634 |
| 9 | Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 10 | Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 11 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 12 | Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 13 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 14 | Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 15 | Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 16 | Cigna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 17 | Clover pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 18 | Devoted pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 19 | Excellus pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 20 | First Health pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 21 | Highmark pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 22 | Humana pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 23 | Kaiser pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 24 | Magellan pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
| 25 | Medcost pb xr 100% default professional · percent of total billed charges · bothfrom % of charges | $423 | $1.2k | $1.0k | 90% | — | $423 – $2.6k |
Last updated: Mar 31, 2026
See Laparoscopic hysterectomy with tube and ovary removal pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.