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See a sample rate comparisonCPT 57270 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Repair Enterocele,Abdominal Approach
| 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 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 57270 |
| Medicaid Fee Schedule | View Medicaid rates for 57270 |
National average reimbursement for CPT 57270 by major payers:
$1,017.37
$1,075.67
$1,050.71
$1,308.85
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CPT 57270
5 of 25 sample ratesHigher to lower in this preview
Ucsd Ambulatory Surgery Center, LLC, University Ambulatory Surgery Center
$11,881.00Published rateBellaire Outpatient Surgery Center, LLP, Baylor Scott & White Surgicare - Oakmont
Bellaire Outpatient Surgery Center LLP
$3,500.00Published rateAtlantic Coast Surgical Suites, LLC
Atlantic Coast Surgical Suites LLC
$2,101.00Published rateRex Surgery Center Of Wakefield, LLC
Rex Surgery Center Of Wakefield LLC
$1,973.00Published rateWellbrook Endoscopy Center, LLC
Wellbrook Endoscopy Center LLC
$672.00Published rate
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See a sample payer proposalCPT 57270 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57270 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 57270 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 |
|---|---|---|
| 57267-CPT | Moderate | Insert Mesh Pelvic Flr Addon, Insertion Of Mesh Or Other Prosthesis For Repair Of Pelvic Floor Defect Each Site Anterior Posterior Compartment Vaginal Approach List Separately In Addition To Code For Primary Procedure |
| 57268-CPT | Moderate | Repair Enterocele Vaginal Appr |
| 57270-CPT | High | Repair Enterocele,Abdominal Approach |
| 57280-CPT | High | Surgery For Prolapsed Vagina, Surgery To Attach The Vagina With A Patch Graft Or Ligaments To A Bony Structure Within The Pelvis Such As The Tip Of The Sacrum. The Muscles Of A Prolapsed Vagina Can No Longer Hold It In Its Correct Position. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57270. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57270 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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