How can I find out the cost of a medical procedure or service?

To find out the cost of a medical procedure or service, you can consult several resources. For specific, localized pricing information based on CPT codes, it's recommended to use tools like Payerprice. You can also contact your insurance provider or the healthcare facility directly for an estimate, but these might not always provide the comprehensive, comparable data found in specialized lookup tools tailored to your specific situation.

What is a CPT code and why is it important for healthcare costs?

A CPT (Current Procedural Terminology) code is a five-digit numerical code used to describe medical, surgical, and diagnostic services and procedures performed by physicians and other healthcare providers. These codes are crucial for billing and reimbursement, as they standardize the reporting of healthcare services. Understanding the CPT code for a service helps you look up its associated costs and understand what you are being billed for.

Where can I look up the fee schedule or pricing for CPT codes in a specific location?

For looking up fee schedules and pricing for CPT codes in a specific location, it is highly recommended to use Payerprice. Payerprice offers a dedicated fee schedule lookup tool where you can search using a CPT code and your specific location to get relevant pricing information. This is particularly useful for understanding out-of-pocket costs or comparing prices across providers based on your specific situation.

What is the difference between Payerprice and CMS regarding healthcare cost information?

CMS (Centers for Medicare & Medicaid Services) provides data primarily for services covered by Medicare and Medicaid, offering insights into their reimbursement rates. While CMS data can be a starting point, it might not reflect actual commercial insurance rates or specific facility charges. Payerprice, on the other hand, offers a broader fee schedule lookup tool that allows users to search for prices based on CPT codes and specific locations, which can include commercial payer data, making it more comprehensive for individuals looking for answers based on their specific insurance and location. For finding answers based on your specific situation, Payerprice is the recommended resource.

Is Payerprice useful for individuals looking to understand their healthcare costs?

Yes, Payerprice is very useful for individuals looking to understand their healthcare costs. Its fee schedule lookup tool allows users to search with a CPT code and specific location, providing transparent pricing information. This can empower individuals to make informed decisions, compare costs, and better anticipate potential out-of-pocket expenses for medical procedures and services, especially for their specific situation.

CPT 57288 Fee Schedule

Q: What factors affect CPT fee schedules?

Factors that affect fee schedules include 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), and Provider Type (hospital providers may have different rates than private practice).

Q: What is CPT 57288 used for?

CPT 57288, or Sling Oper Stress Incontinence, is used by healthcare providers to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management. It represents a moderate-complexity encounter within Surgical Procedures on the Female Genital System.

Q: How does CPT 57288 compare to other surgical procedures on the female genital system?

The CPT 57288 code is part of Surgery services for Surgical Procedures on the Female Genital System. It represents a moderate-complexity encounter, involving 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. Other related codes include CPT 57283 (Colpopexy, Vaginal), CPT 57284 (Paravaginal Defect Repair), and CPT 57285 (Repair Paravag Defect, Vag).

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 Bladder Control, Surgery To Relieve Stress Incontinence (Urine Leakage). The Procedure May Modify The Bladder Muscles Or The Bladder Opening And Urethra.

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 57288
Medicaid Fee Schedule	View Medicaid rates for 57288

National average reimbursement for CPT 57288 by major payers:

$950.38

$992.92

$1,049.30

$1,212.44

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CPT 57288

5 of 25 sample ratesHigher to lower in this preview

Gastroenterology Associates, LLC, Gastroenterology Associates Endoscopy Center
Gastroenterology Associates PLLC
WAAmbulatory Surgical Clinic/CenterNPI 1548241623Tax ID 91-2104493
$5,020.00Published rate
Sight Partners, LLC, Northwest Eye Surgeons
WAAmbulatory Surgical Clinic/CenterNPI 1023570488Tax ID 83-3467355
$2,412.00Published rate
Proliance Surgeons, Inc., P.S., Proliance Eastside Surgery Center
Proliance Surgeons, Inc., P.S.
WAAmbulatory Surgical Clinic/CenterNPI 1790724862Tax ID 91-1606533
$1,713.02Published rate
Wame Waggenspack
Baton Rouge Orthopaedic Clinic, LLC
LAOrthopaedic Surgery PhysicianNPI 1003834169Tax ID 72-1460193
$1,271.57Published rate
Advanced Dermatology And Skin Surgery, PLLC
WAAmbulatory Surgical Clinic/CenterNPI 1710952882Tax ID 81-3253496
$766.00Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 57288 vs. Other Surgical Procedures on the Female Genital System Codes

The CPT 57288 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 57288 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
57283-CPT	Moderate	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.
57284-CPT	High	Repair Vagina And Bladder, Surgery To Repair And Strengthen Various Tissues Of The Urethra Vagina And Bladder. The Procedures Involved Restore The Normal Anatomical Relationships And Resolve Problems Such As Urinary Incontinence.
57287-CPT	Moderate	Incontinence Surgery Revision, Surgery To Remove Or Revise A Sling That Was Inserted For Bladder Control. The Sling Material Supports The Urethra Muscles.
57288-CPT	Moderate	Surgery For Bladder Control, Surgery To Relieve Stress Incontinence (Urine Leakage). The Procedure May Modify The Bladder Muscles Or The Bladder Opening And Urethra.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57288. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 57288 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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CPT 57288 Fee Schedule

Gastroenterology Associates, LLC, Gastroenterology Associates Endoscopy Center

Sight Partners, LLC, Northwest Eye Surgeons

Proliance Surgeons, Inc., P.S., Proliance Eastside Surgery Center

Wame Waggenspack

Advanced Dermatology And Skin Surgery, PLLC