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 Salpingo Oophorectomy Complete/Partial Uni/Bil|ASSISTANT AT SURGERY SERVICE|MULTIPLE PROCEDURES
Silver Spring, MD
See all hospitals reporting CPT 58720 →Price type
Holy Cross Hospital-Silver Spring’s median price of $266 is 92% below the median hospital's median price ($3.3k), higher than 1% of the 1,503 hospitals reporting CPT 58720. 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 · outpatient | $60 | $166 | $149 | 90% | — | $60 – $376 |
| 2 | Humana tricare professional · fee schedule · outpatient | $64 | $175 | $158 | 90% | — | $64 – $399 |
| 3 | Tricare tricare professional · fee schedule · outpatient | $64 | $175 | $158 | 90% | — | $64 – $399 |
| 4 | Aetna aetna medicare advantage professional · fee schedule · both | $218 | $218 | $158 | 72% | — | $60 – $376 |
| 5 | Humana tricare professional · fee schedule · both | $231 | $231 | $167 | 72% | — | $64 – $399 |
| 6 | Tricare tricare professional · fee schedule · both | $231 | $231 | $167 | 72% | — | $64 – $399 |
| 7 | Aetna aetna medicare advantage professional · fee schedule · inpatient | $320 | $247 | $145 | 59% | — | $44 – $376 |
| 8 | Aetna aetna professional · fee schedule · outpatient | $91 | $250 | $225 | 90% | — | $91 – $569 |
| 9 | Humana tricare professional · fee schedule · inpatient | $339 | $261 | $154 | 59% | — | $46 – $399 |
| 10 | Tricare tricare professional · fee schedule · inpatient | $339 | $261 | $154 | 59% | — | $46 – $399 |
| 11 | Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 12 | Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 13 | Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 14 | Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 15 | Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 16 | Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 17 | Caresource pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 18 | Cigna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 19 | Clover pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 20 | Devoted pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 21 | Excellus pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 22 | First Health pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 23 | Highmark pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 24 | Humana pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
| 25 | Kaiser pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges | $266 | $266 | — | — | — | $266 – $266 |
Last updated: Mar 31, 2026
See Removal of one or both ovaries and fallopian tubes pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.