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 TOT HYST UTRS>250G W TB/OV
Rochester, MN
See all hospitals reporting CPT 58573 →Price type
Mayo Clinic’s median price of $7.5k is 28% below the median hospital's median price ($10.4k), higher than 31% of the 1,938 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: 16 payers, 78 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 | Ucare ucare msho medicare advantage plan [598] professional · fee schedule · outpatient | $415 | $415 | — | — | — | $415 – $415 |
| 2 | Ucare ucare connect medicare advantage plan [944] professional · fee schedule · outpatient | $448 | $448 | — | — | — | $448 – $448 |
| 3 | Optum veteran affairs optum [1054] professional · fee schedule · outpatient | $509 | $509 | — | — | — | $509 – $509 |
| 4 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan aco [815] professional · fee schedule · outpatient | $519 | $519 | — | — | — | $519 – $519 |
| 5 | Ucare ucare medicare advantage plan [643] professional · fee schedule · outpatient | $519 | $519 | — | — | — | $519 – $519 |
| 6 | Medica medica advantage solutions by county [1204] professional · fee schedule · outpatient | $524 | $524 | — | — | — | $524 – $524 |
| 7 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan msho [226] professional · fee schedule · outpatient | $534 | $534 | — | — | — | $534 – $534 |
| 8 | Blue Cross Blue Shield blue cross blue shield medicare advantage plan ppo and hmo [1099] professional · fee schedule · outpatient | $534 | $534 | — | — | — | $534 – $534 |
| 9 | Medica medica dual solution msho medicare advantage plan [1004] professional · fee schedule · outpatient | $545 | $545 | — | — | — | $545 – $545 |
| 10 | Blue Cross Blue Shield mc xr pb bcbs platinum blue medicare advantage plan [935] professional · fee schedule · outpatient | $585 | $585 | — | — | — | $585 – $585 |
| 11 | Ucare ucare essentia care medicare advantage plan [775] professional · fee schedule · outpatient | $585 | $585 | — | — | — | $585 – $585 |
| 12 | Healthpartners healthpartners part b medicare advantage plan [496] professional · fee schedule · outpatient | $763 | $763 | — | — | — | $763 – $763 |
| 13 | Blue Cross Blue Shield blue cross blue shield federal retiree [949] professional · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 14 | Medica medica prime solutions part b medicare advantage plan [150] facility · fee schedule · outpatient | $1.0k | $1.0k | — | — | — | $1.0k – $1.0k |
| 15 | Healthpartners healthpartners medicare advantage plan part b [610] facility · fee schedule · outpatient | $1.5k | $1.5k | — | — | — | $1.5k – $1.5k |
| 16 | Cigna cigna [41] facility · percent of total billed charges · outpatientfrom % of charges | $4.4k | $4.4k | — | — | 1–10 | $4.4k – $4.4k |
| 17 | Blue Cross Blue Shield blue cross blue shield mayo aco [612] professional · percent of total billed charges · outpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 18 | Ucare swwi ucare ifp [1112] professional · percent of total billed charges · outpatientfrom % of charges | $6.9k | $6.9k | — | — | — | $6.9k – $6.9k |
| 19 | Blue Cross Blue Shield blue cross blue shield fep [869] professional · percent of total billed charges · outpatientfrom % of charges | $7.0k | $7.0k | — | — | — | $7.0k – $7.0k |
| 20 | Anthem blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 21 | Blue Cross Blue Shield blue cross blue shield by payor [178] professional · percent of total billed charges · outpatientfrom % of charges | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 22 | Blue Cross Blue Shield complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 23 | Blue Cross Blue Shield transplant bcbs [1141] professional · percent of total billed charges · outpatientfrom % of charges | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 24 | Healthpartners complex care [808] professional · percent of total billed charges · outpatientfrom % of charges | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
| 25 | Medica deanhp by medica west mc hmo [1263] professional · percent of total billed charges · outpatientfrom % of charges | $7.1k | $7.1k | — | — | — | $7.1k – $7.1k |
Last updated: Aug 14, 2026
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