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See a sample rate comparisonCPT 57240 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.
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.
| 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 51 - Multiple procedures 80 - Assistant surgeon |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57240 |
| Medicaid Fee Schedule | View Medicaid rates for 57240 |
National average reimbursement for CPT 57240 by major payers:
$741.41
$816.11
$865.51
$994.61
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CPT 57240
5 of 25 sample ratesHigher to lower in this preview
Indiana University Health Saxony Surgery Center LLC, Saxony Surgery Center
$6,285.00Published rateBaptist Healthcare System, Inc., Baptist Health Surgery Center Eastpoint
Baptist Healthcare System Inc
$2,337.00Published rateTri-Cities Endoscopy Center PC, The Center For Digestive Wellness
Tricities Endoscopy Center PC
$2,016.00Published rateRebecca Hopper
Deaconess Hospital Inc
$1,053.57Published rateEvan Lahtinen
Deaconess Hospital Inc
$484.07Published rate
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See a sample payer proposalCPT 57240 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57240 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 57240 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 57240. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57240 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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