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CPT 57023 Fee Schedule

Last Verified: November 2025

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Incision And Drainage Of Vaginal Hematoma; Non-Obstetrical
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Female Genital System

Common Place of Service

22 - On Campus Outpatient Hospital

21 - Inpatient Hospital

Common Modifiers

None

78 - Return to OR - related procedure

80 - Assistant surgeon

Complexity LevelModerate

National average reimbursement for CPT 57023 by major payers:

bcbs

$395.67

uhc

$419.17

aetna

$412.79

cigna

$523.09

Preview provider-level rates for...
For billing codeCPT 57023
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 57023

United
57023$1062.001558456459 - PORTLAND ENDOSCOPY CENTER10432678 - (ME) PORTLAND ENDOSCOPY CENTERMEAmbulatory Surgical Clinic/Center (261QA1903X)
United
57023$2408.001437105368 - PROLIANCE SURGEONS, INC., P.S., PROLIANCE SKAGIT NORTHWEST ORTHOPEDIC SURGERY CENTER911606533 - (WA) PROLIANCE SURGEONS, INC., P.S.WAAmbulatory Surgical Clinic/Center (261QA1903X)
United
57023$1685.001336562156 - RYE SURGICAL CENTER, LLC463464240 - (NH) RYE SURGICAL CENTER LLCNHAmbulatory Surgical Clinic/Center (261QA1903X)
United
57023$1919.001649870304 - PARKHILL SURGERY CENTER PLANO, LLC851803797TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
57023$1513.001982677191 - LAS VEGAS EAST OPHTHALMOLOGY ASC LLC, SHEPHERD EYE SURGICENTER752829740NVAmbulatory Surgical Clinic/Center (261QA1903X)
United
57023$1623.001437106846 - ANTIETAM UROSURGICAL CENTER LLC ASC522006832 - (MD) ANTIETAM UROSURGICAL CENTER LLC ASCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
57023$251.501851575476 - MARTIN KELLY350593390 - DEACONESS HOSPITAL INCARCertified Registered Nurse Anesthetist (367500000X)
United
57023$547.401023462744 - EVAN GREEN350593390 - DEACONESS HOSPITAL INCNYStudent in an Organized Health Care Education/Training Program (390200000X)
United
57023$811.001205963568 - BRYN MAWR MEDICAL SPECIALISTS ASSOCIATION231714249 - (PA) BRYN MAWR MEDICAL SPECIALISTS ASSOCIATIONPAAmbulatory Surgical Clinic/Center (261QA1903X)
United
57023$1700.001881001212 - AMBULATORY SURGICAL CENTER AT BASKING RIDGE833879253 - (NJ) LIBERTY CORNER SURGICAL CENTER LLCNJAmbulatory Surgical Clinic/Center (261QA1903X)
United
57023$644.001467472688 - WEST CLINIC ASTC, WEST CLINIC, PC621526296 - THE WEST CLINIC, PLLCTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
57023$948.001831235878 - SOUTHERN CALIFORNIA STONE CENTER954539036 - (CA) UROLOGICAL INSTITUTE OF SOUTHERN CALIFORNIA 401(K) PLANCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
57023$1421.001619998648 - PAIN CARE CENTER BOISE, LLC, PAIN CARE BOISE200197438 - (ID) PAIN CARE CENTER BOISE, L.L.C.IDAmbulatory Surgical Clinic/Center (261QA1903X)
United
57023$1064.001609871680 - LAUREL MD ENDOSCOPY ASC LLC, AMBULATORY ENDOSCOPY CENTER OF MARYLAND203959465 - (MD) LAUREL MD ENDOSCOPY ASC LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
57023$2025.001417286428 - ALLIANCE SURGICAL CENTER LLC271367127 - (FL) ALLIANCE SURGICAL CENTER LLCFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 57023 vs. Other Surgical Procedures on the Female Genital System Codes

The CPT 57023 code is part of the Surgery services used for Surgical Procedures on the Female Genital System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 57023 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
57000-CPTModerateColpotomy; With Exploration
57010-CPTModerateColpotomy W Drain Abscess Pelvic
57020-CPTLowColpocentesis (Separate Procedure)
57023-CPTModerateIncision And Drainage Of Vaginal Hematoma; Non-Obstetrical

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57023. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 57023 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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