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
Valhalla, NY
See all hospitals reporting CPT 58542 →Price type
Westchester Medical Center’s median price of $13.2k is 28% above the median hospital's median price ($10.4k), higher than 76% 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: 8 payers, 18 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield blue cross connection/exchange facility · case rate · outpatient | $8.6k | $8.6k | — | — | — | $8.6k – $8.6k |
| 2 | Blue Cross Blue Shield blue cross access facility · case rate · outpatient | $9.2k | $9.2k | — | — | — | $9.2k – $9.2k |
| 3 | UnitedHealthcare uhc compass facility · case rate · outpatient | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 4 | UnitedHealthcare uhc exchange facility · case rate · outpatient | $9.6k | $9.6k | — | — | — | $9.6k – $9.6k |
| 5 | Blue Cross Blue Shield blue cross small group facility · case rate · outpatient | $10.4k | $10.4k | — | — | — | $10.4k – $10.4k |
| 6 | UnitedHealthcare uhc commercial facility · case rate · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 7 | UnitedHealthcare uhc empire facility · case rate · outpatient | $11.3k | $11.3k | — | — | — | $11.3k – $11.3k |
| 8 | Blue Cross Blue Shield blue cross commercial/healthy ny facility · case rate · outpatient | $11.5k | $11.5k | — | — | — | $11.5k – $11.5k |
| 9 | Aetna aetna hp network facility · case rate · outpatient | $11.7k | $11.7k | — | — | — | $11.7k – $11.7k |
| 10 | Aetna aetna facility · case rate · outpatient | $13.0k | $13.0k | — | — | — | $13.0k – $13.0k |
| 11 | Aetna aetna employee facility · case rate · outpatient | $13.0k | $13.0k | — | — | — | $13.0k – $13.0k |
| 12 | Blue Cross Blue Shield blue cross medicare facility · fee schedule · outpatient | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 13 | Medicare medicare facility · fee schedule · outpatient | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 14 | UnitedHealthcare uhc medicare facility · fee schedule · outpatient | $13.2k | $13.2k | — | — | — | $13.2k – $13.2k |
| 15 | Tricare tricare facility · fee schedule · outpatient | $13.3k | $13.3k | — | — | — | $13.3k – $13.3k |
| 16 | Oscar oscar medicare facility · fee schedule · outpatient | $13.6k | $13.6k | — | — | — | $13.6k – $13.6k |
| 17 | Molina affinity by molina mcr facility · fee schedule · outpatient | $13.9k | $13.9k | — | — | — | $13.9k – $13.9k |
| 18 | WellCare wellcare exchange (mcr) facility · fee schedule · outpatient | $24.4k | $24.4k | — | — | — | $24.4k – $24.4k |
Last updated: Jul 28, 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.