Biopsy of lining of uterus and/or removal of polyp using an endoscope
Medicare pricing data for 17,216 providers across 52 states
This procedure has a 6.2x markup — hospitals charge $3,130 but Medicare allows only $503.88. Uninsured patients may face bills 6.2 times higher than what insurance negotiates. Prices vary significantly by location — from $214 in South Dakota to $834 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
Biopsy of lining of uterus and/or removal of polyp using an endoscope (HCPCS code 58558) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $503.88, but hospitals typically charge $3,130 — a 6.2x 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 $503.88, your out-of-pocket cost would be approximately $100.78. 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 6.2x more than what Medicare allows for this procedure. Medicare actually pays $396.59 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $834 | $8,216 | 53 | 162 | +65.5% |
| New York | $688 | $4,296 | 1,338 | 4,235 | +36.5% |
| California | $665 | $4,029 | 1,336 | 4,088 | +32.0% |
| Florida | $662 | $3,683 | 1,203 | 4,260 | +31.3% |
| New Jersey | $627 | $4,260 | 657 | 1,934 | +24.5% |
| Maryland | $624 | $3,129 | 391 | 1,574 | +23.8% |
| Arizona | $600 | $2,831 | 335 | 1,014 | +19.0% |
| Hawaii | $588 | $2,719 | 70 | 142 | +16.6% |
| Wyoming | $559 | $3,302 | 25 | 69 | +11.0% |
| Nevada | $544 | $4,224 | 125 | 304 | +8.0% |
| Oregon | $519 | $2,781 | 213 | 529 | +3.0% |
| Tennessee | $515 | $2,034 | 341 | 1,049 | +2.2% |
| Massachusetts | $510 | $3,057 | 557 | 1,866 | +1.2% |
| Texas | $510 | $4,198 | 950 | 2,218 | +1.1% |
| Utah | $490 | $1,958 | 95 | 194 | -2.7% |
| Virginia | $488 | $2,613 | 528 | 1,521 | -3.2% |
| New Mexico | $487 | $2,995 | 96 | 238 | -3.3% |
| Puerto Rico | $485 | $662 | 42 | 74 | -3.7% |
| Montana | $468 | $2,203 | 59 | 210 | -7.2% |
| Alabama | $440 | $1,932 | 192 | 401 | -12.7% |
| Michigan | $425 | $2,014 | 688 | 1,666 | -15.6% |
| Delaware | $424 | $2,539 | 68 | 341 | -15.9% |
| Kansas | $418 | $3,123 | 151 | 460 | -17.0% |
| Illinois | $413 | $3,051 | 809 | 2,078 | -18.0% |
| Louisiana | $411 | $2,761 | 197 | 415 | -18.5% |
| Colorado | $410 | $2,433 | 251 | 583 | -18.6% |
| Connecticut | $407 | $3,379 | 256 | 531 | -19.3% |
| Minnesota | $406 | $3,494 | 332 | 892 | -19.5% |
| North Carolina | $405 | $3,306 | 546 | 1,235 | -19.7% |
| Indiana | $403 | $3,551 | 401 | 1,166 | -20.1% |
| New Hampshire | $403 | $2,802 | 119 | 296 | -20.1% |
| Georgia | $401 | $2,770 | 430 | 949 | -20.3% |
| Pennsylvania | $394 | $2,067 | 876 | 2,768 | -21.8% |
| Iowa | $385 | $2,213 | 179 | 550 | -23.7% |
| Nebraska | $377 | $2,663 | 114 | 288 | -25.2% |
| Arkansas | $377 | $1,759 | 153 | 395 | -25.2% |
| Kentucky | $371 | $1,632 | 235 | 644 | -26.3% |
| Mississippi | $363 | $2,261 | 112 | 301 | -27.9% |
| Missouri | $363 | $2,481 | 331 | 930 | -28.0% |
| West Virginia | $357 | $2,373 | 105 | 308 | -29.1% |
| North Dakota | $354 | $2,663 | 37 | 96 | -29.7% |
| Washington | $352 | $1,794 | 279 | 692 | -30.1% |
| Ohio | $342 | $1,752 | 767 | 1,814 | -32.2% |
| Wisconsin | $338 | $4,197 | 328 | 807 | -33.0% |
| Vermont | $331 | $3,503 | 36 | 118 | -34.3% |
| South Carolina | $330 | $2,658 | 300 | 796 | -34.5% |
| Oklahoma | $282 | $1,296 | 172 | 421 | -44.0% |
| Idaho | $276 | $1,450 | 59 | 119 | -45.1% |
| Maine | $262 | $1,495 | 62 | 128 | -48.0% |
| District of Columbia | $254 | $2,008 | 66 | 182 | -49.5% |
| Rhode Island | $228 | $2,113 | 62 | 149 | -54.8% |
| South Dakota | $214 | $1,089 | 52 | 122 | -57.4% |
⚠️ 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