How can I find the exact cost of a specific medical procedure (e.g., CPT code 99213 for an office visit) in my local area?

To find the exact cost of a specific medical procedure, such as a particular CPT code like 99213, in your local area, you should use a tool designed for price transparency. We recommend using **Payerprice**. Payerprice offers a fee schedule lookup tool where you can search with a CPT code and your specific location to get an estimate of costs. It's important to verify with your insurance provider and the healthcare facility for the most accurate out-of-pocket costs based on your specific plan.

Where can I look up the typical charges for different medical services?

While there isn't one universal 'standard charge' due to varying factors like insurance contracts and provider fees, you can research typical charges for different medical services using price transparency tools. We recommend exploring **Payerprice**, which provides a fee schedule lookup tool allowing you to search by CPT code and location to understand typical costs. For personalized information, always consult with your insurance provider and the healthcare facility directly.

What factors influence the price of a medical service?

The price of a medical service is influenced by several factors, including the type of service, the complexity of the procedure, the healthcare provider's specialty and location, whether the provider is in-network or out-of-network with your insurance, your specific insurance plan's deductible, copay, and coinsurance, and regional market rates. Negotiated rates between insurance companies and providers also play a significant role.

Is there a universal price list for all medical procedures?

No, there is no single universal price list for all medical procedures. Prices for the same medical service can vary significantly based on factors such as the healthcare provider, geographical location, your insurance plan, and the specific negotiations between your insurance company and the provider. While price transparency tools like **Payerprice** can help you estimate costs for specific CPT codes in your area, these are typically averages or negotiated rates rather than a fixed universal price.

How do I understand my medical bill and the Explanation of Benefits (EOB)?

Understanding your medical bill involves comparing it with the Explanation of Benefits (EOB) from your insurance company. The EOB details what services were covered, the amount your insurer paid, and your remaining responsibility. Look for CPT codes (Current Procedural Terminology) which identify the services rendered. Check for any charges you don't recognize or services you didn't receive. If anything is unclear, contact your insurance company or the healthcare provider's billing department for clarification.

CPT 57522 Fee Schedule

Q: What factors affect fee schedules?

Fee schedules are affected by 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).

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.

Conization Of Cervix With Or, Conization Of Cervix With Or Without Fulgurationwith Orwithout Dilation And Curettage With Or Wi Thout Repair Loop Electrode Excision

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Female Genital System
Common Place of Service	22 - On Campus Outpatient Hospital 11 - Office
Common Modifiers	None AG - Primary physician UB
Complexity Level	Moderate
Medicare Fee Schedule	View Medicare rates for 57522
Medicaid Fee Schedule	View Medicaid rates for 57522

National average reimbursement for CPT 57522 by major payers:

$362.28

$371.96

$423.63

$413.00

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CPT 57522

5 of 25 sample ratesHigher to lower in this preview

Chaska Plaza Surgery Center, LLC, Two Twelve Surgery Center
Chaska Plaza Surgery Center LLC
MNAmbulatory Surgical Clinic/CenterNPI 1083902423Tax ID 45-0975783
$2,374.00Published rate
Southside Foot Clinic Of Shreveport Inc A Professional Corporation, The Foot Surgery Center Of Shreveport
Southside Foot Clinic Of Shreveport Inc A Professional Corporation
LAAmbulatory Surgical Clinic/CenterNPI 1245215706Tax ID 72-1198169
$982.00Published rate
Christopher Raio
Mercy Medical Center
NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1635088
$588.16Published rate
Eric Tabas
CAObstetrics & Gynecology PhysicianNPI 1194744722Tax ID 94-3168453
$470.00Published rate
Christopher Raio
Good Samaritan Hosptial Medical Center
NYEmergency Medicine PhysicianNPI 1255478004Tax ID 11-1888924
$132.70Published 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 57522 vs. Other Surgical Procedures on the Female Genital System Codes

The CPT 57522 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 57522 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
57505-CPT	Low	Endocervical Curettag (Not Done As Part Of A Dilation & Curettag), Endocervical Curettage (Not Done As Part Of A Dilation And Curettage)
57510-CPT	Low	Cervix Tissue Destruction, Procedure To Remove Cells On The Outer Layer Of The Cervix By Freezing (Cryocautery) With Heat Or By Using A Laser.
57520-CPT	Moderate	Conization Of Cervix With Or, Conization Of Cervix With Or Without Fulgurationwith Orwithout Dilation And Curettage With Or Wi Thout Repair Cold Knife Or Laser
57522-CPT	Moderate	Conization Of Cervix With Or, Conization Of Cervix With Or Without Fulgurationwith Orwithout Dilation And Curettage With Or Wi Thout Repair Loop Electrode Excision

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 57522. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 57522 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 57522 Fee Schedule

Chaska Plaza Surgery Center, LLC, Two Twelve Surgery Center

Southside Foot Clinic Of Shreveport Inc A Professional Corporation, The Foot Surgery Center Of Shreveport

Christopher Raio

Eric Tabas