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See a sample rate comparisonCPT 57220 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.
Plastic Operation On Urethral, Plastic Operation On Urethral Sphincter Vaginal Approach(Eg Kelly Urethral Plication) Plastic Operation On Urethral Sphincter Vaginal Approach
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57220 |
| Medicaid Fee Schedule | View Medicaid rates for 57220 |
National average reimbursement for CPT 57220 by major payers:
$413.32
$438.86
$444.00
$551.03
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CPT 57220
5 of 25 sample ratesHigher to lower in this preview
Plaza Surgery Center, L.P., Plaza Surgery Center
Plaza Surgery Center Lp
$8,477.00Published rateOrthopaedic Specialty Surgery Center LLC, Orthopaedic & Specialty Surgery Center
Orthopaedic Specialty Surgery Center, LLC
$4,018.00Published rateGeorgia Interventional Pain
$3,500.00Published rateLpc Surgery Center LLC
$1,680.00Published rateDhch LLC
Dhch, LLC
$860.00Published rate
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See a sample payer proposalCPT 57220 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57220 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 57220 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 |
|---|---|---|
| 57200-CPT | Moderate | Colporrhaphy Suture Of Injury, Colporrhaphy Suture Of Injury Of Vagina (Nonobstetrical)Colporrhaphy Suture Of Injury Of Vagina (Nonobstetrical) |
| 57220-CPT | Moderate | Plastic Operation On Urethral, Plastic Operation On Urethral Sphincter Vaginal Approach(Eg Kelly Urethral Plication) Plastic Operation On Urethral Sphincter Vaginal Approach |
| 57230-CPT | Moderate | Surgery For Prolapsed Urethra, Surgical Repair Of A Prolapsed (Collapsed) Urethra That Is Pressing Against The Vaginal Wall. |
| 57240-CPT | Moderate | Vaginal Wall Repair, Surgery To Repair A Muscle In The Vaginal Wall. The Procedure May Involve Moving A Bladder Or Rectum That Has Bulged Into The Vagina Back Into Its Proper Place. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57220. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57220 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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