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See a sample rate comparisonCPT 57200 Fee Schedule
Last Verified: October 2026
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.
Colporrhaphy Suture Of Injury, Colporrhaphy Suture Of Injury Of Vagina (Nonobstetrical)Colporrhaphy Suture Of Injury Of Vagina (Nonobstetrical)
| Key Fact | Detail |
|---|---|
| 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 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57200 |
| Medicaid Fee Schedule | View Medicaid rates for 57200 |
National average reimbursement for CPT 57200 by major payers:
$398.36
$413.11
$435.44
$523.82
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CPT 57200
5 of 25 sample ratesHigher to lower in this preview
Northwest Surgery Center, Ltd, Northwest Surgery Center Red Oak
Northwest Surgery Center Ltd
$5,841.00Published rateFlorham Park Endoscopy Asc LLC, Florham Park Endoscopy Center
Florham Park Endoscopy Center, LLC
$2,717.00Published rateLonestar Ambulatory Surgical Center
$1,490.00Published rateWenatchee Valley Hospital, Confluence Health Omak Asc
Wenatchee Valley Hospital
$1,209.00Published rateEye Surgery Limited LLC, Virginia Center For Eye Surgery
Eye Surgery Limited, LLC
$694.00Published rate
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See a sample payer proposalCPT 57200 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57200 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 57200 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.
| Code | Complexity | Description |
|---|---|---|
| 57160-CPT | Low | Fit Vaginal Support Device, Fitting And Instruction For A Pessary Device. This Is A Prosthesis That Supports The Uterus Cervical Stump Or Hernias Of The Pelvic Floor. |
| 57170-CPT | Low | Insert Birth Control Device, Fitting Insertion And Instructions For Using A Birth Control Device: Diaphragm Cervical Cap Or Iud (Intrauterine Device). |
| 57180-CPT | Moderate | Treat Excess Vaginal Bleeding, Placement Of Gauze Or Other Packing Agent Into The Vagina To Stop A Hemorrhage. The Material May Be Treated With A Medication To Help Stop The Bleeding. |
| 57200-CPT | Moderate | Colporrhaphy Suture Of Injury, Colporrhaphy Suture Of Injury Of Vagina (Nonobstetrical)Colporrhaphy Suture Of Injury Of Vagina (Nonobstetrical) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57200. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57200 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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