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
Laparoscopy Tot Hysterectomy >250 G W/Tube/Ovar
Utica, NY
See all hospitals reporting CPT 58573 →Price type
MVHS, Inc.’s median price of $27 is 100% below the median hospital's median price ($10.4k), higher than 0% 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: 11 payers, 19 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 | Medical Mutual worker's compensation and no fault fee schedule · outpatient | $27 | $27 | — | — | — | $27 – $27 |
| 2 | UnitedHealthcare uhc empire plan fee schedule · outpatient | $357 | $357 | — | — | — | $357 – $357 |
| 3 | Excellus excellus bcbs medicaid hmo fee schedule · outpatient | $375 | $375 | — | — | — | $375 – $375 |
| 4 | Excellus excellus bcbs medicaid percent of total billed charges · outpatientfrom % of charges | $2.1k | $2.1k | — | — | 1–10 | $2.1k – $2.1k |
| 5 | UnitedHealthcare uhc commercial fee schedule · outpatient | $9.8k | $9.8k | — | — | 1–10 | $9.8k – $9.8k |
| 6 | Humana humana military other · outpatient | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 7 | Tricare humana military other · outpatient | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 8 | Excellus excellus bcbs medicare advantage other · outpatient | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 9 | Humana humana medicare advantage other · outpatient | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 10 | Medicare medicare other · outpatient | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 11 | Optum vaccn optum other · outpatient | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 12 | UnitedHealthcare uhc medicare advantage other · outpatient | $13.4k | $13.4k | — | — | — | $13.4k – $13.4k |
| 13 | Aetna aetna medicare advantage other · outpatient | $13.5k | $13.5k | — | — | — | $13.5k – $13.5k |
| 14 | WellCare wellcare medicare advantage other · outpatient | $13.7k | $13.7k | — | — | — | $13.7k – $13.7k |
| 15 | Aetna aetna commercial percent of total billed charges · outpatientfrom % of charges | $14.6k | $14.6k | — | — | 1–10 | $14.6k – $14.6k |
| 16 | Blue Cross Blue Shield excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges | $19.8k | $19.8k | — | — | 1–10 | $19.8k – $19.8k |
| 17 | Excellus excellus bcbs hmo/ppo percent of total billed charges · outpatientfrom % of charges | $20.0k | $20.0k | — | — | 1–10 | $20.0k – $20.0k |
| 18 | Cigna mvp and cigna commercial other · outpatient | $38.1k | $38.1k | — | — | — | $38.1k – $38.1k |
| 19 | Excellus excellus bcbs indemnity percent of total billed charges · outpatientfrom % of charges | $49.6k | $49.6k | — | — | 1–10 | $49.6k – $49.6k |
Last updated: Aug 7, 2026
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