58571

Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less

Medicare pricing data for 7,361 providers across 51 states

🤖AI Overview

Prices vary significantly by location — from $441 in Idaho to $1,080 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

Removal of uterus, tubes, and/or ovaries through abdomen using an endoscope, 250.0 g or less (HCPCS code 58571) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $692.31, but hospitals typically charge $3,151 — a 4.6x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$138.46

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $692.31, your out-of-pocket cost would be approximately $138.46. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$692.31
Average Hospital Charge
$3,151
Markup Ratio
4.6x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$3,150.92
Medicare Allowed$692.31
Medicare Payment$550.36

Hospitals charge 4.6x more than what Medicare allows for this procedure. Medicare actually pays $550.36 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$1,080$10,44634175+56.0%
Wyoming$999$7,5421862+44.4%
District of Columbia$812$2,65420130+17.3%
Missouri$805$3,024144530+16.3%
New York$785$4,8413851,618+13.3%
Connecticut$780$3,45187295+12.7%
North Dakota$779$2,9652872+12.5%
Vermont$773$3,9191665+11.6%
Georgia$772$3,077165707+11.5%
Maryland$770$3,189148769+11.2%
Ohio$767$2,750243878+10.8%
Oklahoma$765$2,24896335+10.5%
Illinois$762$4,2232481,015+10.1%
Kansas$760$2,53383379+9.8%
Michigan$759$2,409258778+9.6%
New Hampshire$755$7,23251153+9.0%
New Jersey$751$3,665125598+8.5%
Pennsylvania$742$2,7383341,411+7.1%
Rhode Island$741$2,64429141+7.0%
Maine$740$2,15635109+6.8%
Tennessee$733$2,538126643+5.9%
South Carolina$733$3,343135455+5.9%
Virginia$725$2,770147828+4.7%
Texas$724$3,1245431,964+4.6%
Hawaii$715$2,2491365+3.3%
Massachusetts$715$2,861205933+3.3%
California$713$2,9255592,280+3.0%
Louisiana$700$2,941139388+1.1%
Minnesota$690$3,663177664-0.3%
Kentucky$667$2,041127468-3.6%
Arizona$659$3,070147782-4.9%
Florida$653$2,8784632,220-5.6%
Arkansas$652$2,22970302-5.8%
Colorado$644$2,524136457-6.9%
Alabama$642$2,213135363-7.2%
New Mexico$641$3,06739201-7.3%
Indiana$631$3,095184820-8.9%
West Virginia$622$2,49133247-10.2%
Delaware$618$2,50537200-10.8%
Iowa$612$2,77681330-11.5%
Mississippi$603$2,16097346-12.8%
Utah$585$2,14754175-15.5%
North Carolina$584$2,431232987-15.6%
Washington$560$2,198195893-19.1%
Wisconsin$547$7,657203753-21.0%
South Dakota$534$1,55638226-22.8%
Montana$526$2,26345285-24.0%
Nevada$524$3,92871239-24.3%
Oregon$523$2,772137558-24.5%
Nebraska$521$1,95394402-24.7%
Idaho$441$1,92161254-36.3%

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

Related from TheDataProject.ai

💊 Need post-procedure medications? Check costs on OpenPrescriber