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
LSH W/T/O UT 250 G OR LESS
Framingham, MA
See all hospitals reporting CPT 58542 →Price type
VHS Acquisition Subsidiary Number 9 Inc’s median price of $917 is 91% below the median hospital's median price ($10.4k), higher than 10% of the 1,776 hospitals reporting CPT 58542. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 3 payers, 7 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 | UnitedHealthcare united healthcare nonoptions case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 2 | UnitedHealthcare united healthcare options case rate · outpatient | $1 | $1 | — | — | — | $1 – $1 |
| 3 | Aetna aetna us healthcare fee schedule · outpatient | $8.7k | $8.7k | $4.3k | 49% | — | $4.5k – $13.0k |
| 4 | Cigna cigna health plan - hmo case rate · outpatient | $12.3k | $12.3k | — | — | — | $12.3k – $12.3k |
| 5 | Cigna cigna health plan - ppo case rate · outpatient | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 6 | Cigna cigna health plan - hmo fee schedule · outpatient | $15.0k | $15.0k | — | — | — | $15.0k – $15.0k |
| 7 | Cigna cigna health plan - ppo fee schedule · outpatient | $16.6k | $16.6k | — | — | — | $16.6k – $16.6k |
Last updated: Jun 5, 2026
See Laparoscopic hysterectomy with removal of tubes and/or ovaries pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.