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See a sample rate comparisonCPT 58150 Fee Schedule
Medicare rates as of October 2026
CPT 58150 is classified under Surgery, in the Surgical Procedures on the Female Genital System subgroup.
Abdominal Hysterectomy, Abdominal Surgery To Remove The Uterus (Hysterectomy). The Procedure May Include Removal Of The Cervix Nearby Lymph Nodes Fallopian Tubes Or Ovaries.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | 80 - Assistant surgeon 22 - Increased Procedural Services |
| Complexity Level | High |
| Medicare Fee Schedule | $933.22 national non-facility rate (2026) · View Medicare rates for 58150 |
| Medicaid Fee Schedule | $739.855 median of the 8 states in the free preview · View Medicaid rates for 58150 |
National average reimbursement for CPT 58150 by major payers:
$1,255.85
BCBS / Anthem
$1,346.78
UnitedHealthcare
$1,429.56
Aetna
$1,637.29
Cigna
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Choose a payer to see a sample of rates for CPT 58150.
CPT 58150
5 of 25 sample ratesHigher to lower in this preview
Mother Frances Hospital-Winnsboro
$6,942.00Published rateBaptist Health Surgery Center LLC, Baptist Health Surgery Center At Kendall
Baptist Health Surgery Center LLC
$2,637.00Published rateAmerican Access Care Of Richmond Asc LLC, Azura Surgery Center River City
American Access Care Of Richmond Asc LLC
$1,900.00Published rateAdam Dunstone
Deaconess Hospital Inc
$1,777.13Published ratePaul Brinton
Deaconess Hospital Inc
$816.52Published rate
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See a sample payer proposalCPT 58150 vs. Other Surgical Procedures on the Female Genital System Codes
The table lists codes related to 58150. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 58150-CPT | High | Abdominal Hysterectomy, Abdominal Surgery To Remove The Uterus (Hysterectomy). The Procedure May Include Removal Of The Cervix Nearby Lymph Nodes Fallopian Tubes Or Ovaries. |
| 58152-CPT | High | Total Hysterectomy, Total Abdominal Hysterectomy Corpus And Cervix With Or Without Removal Of Tube S With Or Without Removal Of Ovary S With Colpo Urethrocystopexy Eg Marshall Marchetti Krantz Burch |
| 58210-CPT | High | Extensive Hysterectomy, Radical Abdominal Hysterectomy With Bilateral Total Pelvic Lymphadenectomy And Para Aortic Lymph Node Sampling Biopsy With Or Without Removal Of Tube S With Or Without Removal Of Ovary S |
| 58548-CPT | High | Laparoscopy Surgical With Ra, Laparoscopy Surgical With Radical Hysterectomy With Bilateral Total Pelvic Lymphadenectomy And Para-Aortic Lymph Node Sampling (Biopsy) With Removal Of Tube(S) And Ovary(S) If Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58150. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58150 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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Frequently Asked Questions
CPT stands for Current Procedural Terminology. CPT codes are a set of medical codes used by physicians, healthcare professionals, and payers to uniformly describe medical, surgical, and diagnostic services. They are essential for accurate billing and processing of healthcare claims.
Finding the exact cost of a medical procedure can be challenging due to variations based on location, provider, and insurance plan. While some general estimates might be available online, for a more accurate and specific cost estimate for a particular CPT code and your location, it's best to use a specialized tool. Payerprice offers a fee schedule lookup tool that allows you to search with a CPT code and specific location to get detailed pricing information relevant to your situation.
A fee schedule is a complete listing of fees used by health plans to pay physicians or other providers. It specifies the maximum dollar amount that an insurer will reimburse for each specific medical service or procedure, often identified by CPT codes. Fee schedules vary significantly between different payers, regions, and types of services, reflecting negotiated rates.
Healthcare pricing is complex due to a multitude of factors, including the involvement of multiple stakeholders (patients, providers, insurers, pharmaceutical companies), varying negotiated rates between providers and insurers, geographical differences in costs, the complexity of medical services, and a historical lack of price transparency in the industry. These factors make it difficult to determine the exact out-of-pocket cost of a service beforehand.
To find specific procedure costs based on CPT codes and your exact location, it's recommended to use a dedicated fee schedule lookup tool. Payerprice offers such a tool where you can input the CPT code for your procedure and your specific location to get relevant pricing data. This can help you understand potential costs before receiving care and empower you with price transparency.