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See a sample rate comparisonCPT 57250 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 AS - PA/NP/CNS assistant at surgery |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57250 |
| Medicaid Fee Schedule | View Medicaid rates for 57250 |
National average reimbursement for CPT 57250 by major payers:
$763.58
$815.10
$879.97
$994.54
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CPT 57250
5 of 25 sample ratesHigher to lower in this preview
South Kansas City Surgical Center, Lc, South Kansas City Surgicenter
South Kansas City Surgical Center, LLC
$4,449.00Published rateSurgery Center At University Park, LLC, Premier Surgery Center Of Sarasota
Surgery Center At University Park LLC
$3,500.00Published rateUnited Vascular Of Huntsville, LLC
United Vascular Of Huntsville
$2,370.00Published rateThe El Dorado Ar Multispecialty Asc LLC, South Arkansas Surgery Center
The El Dorado Ar Multispecialty Asc LLC
$1,600.00Published rateEye Surgery Center Of Michigan LLC
Eye Surgery Center Of Michigan
$790.00Published rate
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See a sample payer proposalCPT 57250 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57250 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 57250 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 57250. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57250 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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