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See a sample rate comparisonCPT 57289 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.
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.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 57289 |
| Medicaid Fee Schedule | View Medicaid rates for 57289 |
National average reimbursement for CPT 57289 by major payers:
$946.18
$1,025.63
$1,026.98
$1,259.73
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CPT 57289
5 of 25 sample ratesHigher to lower in this preview
Physicians West El Paso Surgery Center, LLC
$8,266.00Published rateGardendale Surgical Associates, LLC
Gardendale Surgical Associates
$3,570.00Published rateRed Rocks Surgery Centers, LLC
Red Rocks Surgery Centers LLC
$2,771.00Published rateNorthwest Florida Surgery Center
$1,124.00Published ratePremier Endoscopy Center LLC
$383.00Published rate
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See a sample payer proposalCPT 57289 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 57289 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 57289 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. |
| 57285-CPT | Moderate | 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. |
| 57289-CPT | Moderate | 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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57289. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 57289 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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