Biopsy of lining of uterus
Medicare pricing data for 21,448 providers across 52 states
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
Biopsy of lining of uterus (HCPCS code 58100) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $92.68, but hospitals typically charge $333.04 — a 3.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $92.68, your out-of-pocket cost would be approximately $18.54. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $69.17 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $112 | $735 | 68 | 172 | +21.0% |
| New Jersey | $107 | $403 | 712 | 2,098 | +15.6% |
| District of Columbia | $107 | $307 | 103 | 259 | +15.1% |
| California | $104 | $343 | 1,780 | 5,486 | +12.7% |
| New York | $103 | $486 | 1,491 | 4,402 | +11.4% |
| Maryland | $103 | $321 | 446 | 1,350 | +10.8% |
| Nevada | $99 | $247 | 157 | 404 | +7.1% |
| Connecticut | $99 | $392 | 356 | 805 | +6.5% |
| Hawaii | $98 | $273 | 79 | 156 | +6.0% |
| Florida | $96 | $391 | 1,194 | 3,654 | +3.4% |
| Colorado | $96 | $271 | 403 | 935 | +3.3% |
| Puerto Rico | $94 | $333 | 13 | 20 | +1.4% |
| Pennsylvania | $93 | $330 | 1,110 | 3,092 | +0.6% |
| Oregon | $93 | $329 | 303 | 710 | +0.5% |
| Illinois | $93 | $377 | 933 | 2,483 | +0.4% |
| Washington | $93 | $284 | 485 | 1,132 | +0.2% |
| Wyoming | $93 | $362 | 50 | 142 | -0.1% |
| Delaware | $92 | $264 | 87 | 304 | -0.4% |
| Massachusetts | $92 | $350 | 696 | 2,382 | -0.8% |
| Virginia | $92 | $286 | 621 | 1,694 | -0.8% |
| Rhode Island | $92 | $298 | 96 | 233 | -0.8% |
| Arizona | $92 | $256 | 349 | 1,038 | -1.2% |
| Georgia | $91 | $324 | 537 | 1,280 | -1.7% |
| Texas | $90 | $300 | 1,285 | 2,952 | -2.4% |
| Utah | $90 | $242 | 191 | 397 | -2.5% |
| South Carolina | $89 | $302 | 367 | 994 | -3.6% |
| Alabama | $89 | $228 | 256 | 500 | -4.2% |
| North Carolina | $88 | $311 | 827 | 2,084 | -4.6% |
| Missouri | $88 | $284 | 408 | 987 | -5.4% |
| Oklahoma | $87 | $230 | 244 | 597 | -6.4% |
| Indiana | $87 | $274 | 448 | 1,138 | -6.5% |
| Mississippi | $86 | $276 | 166 | 434 | -7.4% |
| Tennessee | $86 | $265 | 434 | 1,198 | -7.4% |
| Michigan | $86 | $235 | 707 | 1,482 | -7.7% |
| Arkansas | $85 | $229 | 177 | 492 | -7.8% |
| Kansas | $84 | $240 | 206 | 542 | -9.5% |
| New Mexico | $84 | $276 | 134 | 326 | -9.7% |
| Minnesota | $84 | $365 | 424 | 871 | -9.8% |
| Kentucky | $83 | $244 | 264 | 606 | -10.2% |
| Montana | $83 | $221 | 102 | 293 | -10.2% |
| Ohio | $83 | $292 | 828 | 1,890 | -10.4% |
| Louisiana | $82 | $259 | 261 | 588 | -11.2% |
| Nebraska | $81 | $269 | 205 | 590 | -12.4% |
| Iowa | $79 | $290 | 230 | 738 | -14.5% |
| New Hampshire | $79 | $281 | 159 | 456 | -14.7% |
| Wisconsin | $79 | $569 | 481 | 1,226 | -14.9% |
| West Virginia | $75 | $259 | 112 | 260 | -18.6% |
| Idaho | $72 | $223 | 135 | 269 | -22.0% |
| South Dakota | $71 | $175 | 85 | 264 | -23.7% |
| North Dakota | $70 | $256 | 83 | 230 | -24.0% |
| Maine | $70 | $213 | 85 | 211 | -24.8% |
| Vermont | $67 | $181 | 53 | 159 | -28.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber