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CPT 57284 Fee Schedule

Last Verified: November 2025

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.

Paravaginal Defect Repair
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Female Genital System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

51 - Multiple procedures

AG - Primary physician

80 - Assistant surgeon

Complexity LevelHigh

National average reimbursement for CPT 57284 by major payers:

bcbs

$1,043.21

uhc

$1,107.24

aetna

$1,087.90

cigna

$1,372.82

Preview provider-level rates for...
For billing codeCPT 57284
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 57284

United
57284$1538.001881699106 - CENTER FOR DAY SURGERY621845006 - (TN) CENTER FOR DAY SURGERYTNAmbulatory Surgical Clinic/Center (261QA1903X)
United
57284$1680.001831636752 - RIVER VIEW SURGERY CENTER, LLC814790945 - (ID) RIVER VIEW SURGERY CENTER, LLCIDAmbulatory Surgical Clinic/Center (261QA1903X)
United
57284$1077.001720058688 - SURGICENTER OF NORFOLK, LLC, FOUNTAIN POINT SURGERY CENTER582458164 - (NE) SURGICENTER OF NORFOLK LLCNEAmbulatory Surgical Clinic/Center (261QA1903X)
United
57284$3400.001922625995 - NATIONAL SURGICAL CENTERS STOCKTON, LLC842979070 - (CA) NATIONAL SURGICAL CENTERS STOCKTCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
57284$3250.001316231020 - DESERT VIEW ENDOSCOPY CENTER, LLC.272420135 - (CA) DESERT VIEW ENDOSCOPY CENTER LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
57284$7391.001316900830 - BAYONET POINT SURGERY CENTER LTD200670560 - (FL) BAYONET POINT SURGERY CENTER LTDFLAmbulatory Surgical Clinic/Center (261QA1903X)
United
57284$3000.001447685458 - CHECKERSPOT SURGERY CENTERS, LLC463181931 - (MD) CHECKERSPOT SURGERY CENTERS LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
57284$2552.001649921065 - JOINT REPLACEMENT CENTER OF LOUISIANA874022126 - (LA) JOINT REPLACEMENT CENTER OF LOUSNCAmbulatory Surgical Clinic/Center (261QA1903X)
United
57284$3152.001851520514 - CAPITOL SURGERY CENTER LLC, WAVERLY LAKE SURGERY CENTER270199061 - (OR) CAPITOL SURGERY CENTER LLCORAmbulatory Surgical Clinic/Center (261QA1903X)
United
57284$8238.001851887863 - TEXAS HEALTH SURGERY CENTER IRVING, LLC831085415TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
57284$4450.001164723011 - SURGICAL SPECIALTY CENTER OF WESTCHESTER LLC, PLASTIC SURGERY CENTER OF WESTCHESTER LLC273453889 - (NY) SURGICAL SPECIALTY CENTER OF WESTCHESTER, LLCNYAmbulatory Surgical Clinic/Center (261QA1903X)
United
57284$3628.001558524298 - SAINT FRANCIS GI ENDOSCOPY L.L.C205540278 - (CT) SAINT FRANCIS GI ENDOSCOPY LLCCTAmbulatory Surgical Clinic/Center (261QA1903X)
United
57284$2436.001558612762 - QUEENS BOULEVARD ASC LLC274614930NYAmbulatory Surgical Clinic/Center (261QA1903X)
United
57284$2585.001740491422 - PV PENINSULA PLASTIC SURGERY CENTER208545497 - (CA) PV PENINSULA PLASTIC SURGERY CENTERCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
57284$2174.001275700957 - PACIFIC CATARACT AND LASER INSTITUTE INC PC911394965 - PACIFIC CATARACT AND LASER INSTITUTE, INC., PCIDAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 57284 vs. Other Surgical Procedures on the Female Genital System Codes

The CPT 57284 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 57284 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.

CodeComplexityDescription
57283-CPTModerateColpopexy, Vaginal; Intra-Peritoneal Approach (Uterosacral, Levator Myorrhaphy)
57284-CPTHighParavaginal Defect Repair
57285-CPTModerateRepair Paravag Defect, Vag
57287-CPTModerateRemoval Or Revision Of Sling For Stress Incontinence

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57284. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 57284 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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