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See a sample rate comparisonCPT 57230 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.
Surgery For Prolapsed Urethra, Surgical Repair Of A Prolapsed (Collapsed) Urethra That Is Pressing Against The Vaginal Wall.
| 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 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57230 |
| Medicaid Fee Schedule | View Medicaid rates for 57230 |
National average reimbursement for CPT 57230 by major payers:
$505.38
$538.86
$539.15
$668.22
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CPT 57230
5 of 25 sample ratesHigher to lower in this preview
Lone Star Endoscopy Center, LLC, Lone Star Endoscopy Southlake
$3,150.00Published rateMinnesota Eye Laser & Surgery Centers, LLC
Minnesota Eye Laser Surgery Centers LLC
$2,003.00Published rateHouston Ivf Management
Houston Ivf Management Co., Lp
$1,490.00Published rateSeneca PA Asc LLC, The Surgery And Laser Center
Seneca PA Asc, LLC
$1,150.00Published ratePlastic Surgery Specialists, PC
Plastic Surgery Specialists, P.C.
$700.00Published rate
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See a sample payer proposalCPT 57230 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57230 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 57230 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 |
|---|---|---|
| 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. |
| 57250-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 57230. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57230 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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