57288

Creation of sling around urethra in female to control leakage

Medicare pricing data for 4,808 providers across 52 states

🤖AI Overview

This procedure has a 5.0x markup — hospitals charge $3,156 but Medicare allows only $630.02. Uninsured patients may face bills 5.0 times higher than what insurance negotiates. Prices vary significantly by location — from $384 in Montana to $1,283 in Alaska. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Creation of sling around urethra in female to control leakage (HCPCS code 57288) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $630.02, but hospitals typically charge $3,156 — a 5.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$126.00

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $630.02, your out-of-pocket cost would be approximately $126.00. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$630.02
Average Hospital Charge
$3,156
Markup Ratio
5.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,156.06
Medicare Allowed$630.02
Medicare Payment$500.37

Hospitals charge 5.0x more than what Medicare allows for this procedure. Medicare actually pays $500.37 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$1,283$10,5982261+103.7%
Mississippi$837$3,46461202+32.9%
California$758$3,3924822,559+20.3%
Tennessee$740$2,716116707+17.5%
District of Columbia$732$2,99415103+16.2%
Puerto Rico$716$972518+13.7%
South Carolina$714$3,31392526+13.4%
Arkansas$711$2,12946217+12.9%
Kansas$710$3,62066345+12.7%
Maryland$703$2,52579546+11.6%
Indiana$698$4,51994551+10.8%
Illinois$686$3,6351471,083+8.9%
Florida$667$3,9643402,229+5.9%
Georgia$655$3,052133788+4.0%
Virginia$650$2,56884642+3.2%
Wyoming$649$3,1532240+3.0%
Missouri$648$2,62471471+2.9%
Arizona$646$4,557124901+2.5%
Michigan$639$2,664146596+1.4%
Texas$633$3,5963742,296+0.5%
New Mexico$610$2,72026107-3.2%
Iowa$609$2,78847236-3.4%
Hawaii$604$2,2621163-4.1%
Oklahoma$603$1,95962344-4.3%
New Jersey$602$3,450119830-4.4%
Ohio$601$2,811167829-4.6%
Connecticut$598$3,29443207-5.0%
Pennsylvania$596$2,8851461,061-5.3%
Colorado$594$2,68978366-5.7%
North Dakota$587$2,2881765-6.8%
Vermont$581$3,412716-7.7%
Louisiana$580$2,37283295-7.9%
New York$580$2,9522361,055-8.0%
Utah$574$2,07254219-8.9%
Rhode Island$553$1,8291468-12.2%
Alabama$551$2,334101522-12.5%
Massachusetts$542$2,430125649-14.0%
West Virginia$538$2,22530113-14.6%
Delaware$531$1,80011115-15.7%
Minnesota$526$3,166120367-16.6%
Maine$525$1,6982041-16.7%
Washington$514$2,01892343-18.4%
Nebraska$510$2,17668440-19.0%
Oregon$509$2,50889409-19.2%
New Hampshire$500$4,20622123-20.6%
North Carolina$494$2,369135736-21.6%
Wisconsin$489$6,41593345-22.4%
Kentucky$467$1,75060327-25.8%
Nevada$467$2,22649182-25.8%
Idaho$445$1,88251196-29.4%
South Dakota$392$1,63523111-37.8%
Montana$384$2,60633189-39.1%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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