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See a sample rate comparisonCPT 58275 Fee Schedule
Last Verified: September 2026
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.
Hysterectomy Vaginal Approach, Surgical Removal Of The Uterus Through An Incision In The Cervix (Vaginal Hysterectomy). All Or Part Of The Vaginal Walls Also May Be Removed.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Female Genital System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures GC - Service performed by resident under supervision |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58275 |
| Medicaid Fee Schedule | View Medicaid rates for 58275 |
National average reimbursement for CPT 58275 by major payers:
$1,211.48
$1,324.94
$1,316.38
$1,602.69
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CPT 58275
5 of 25 sample ratesHigher to lower in this preview
San Antonio Surgery Center, The Center For Special Surgery @ Tca
$5,923.00Published rateProhealth Aligned LLC, Prohealth Care Moreland Surgery Center
Prohealth Aligned LLC
$2,979.00Published rateOrthopaedic Institute For Children Ambulatory Surgery Center, LLC
Orthopaedic Institute For Children Ambulatory Surgery Center LLC
$1,800.00Published rateWasc LLC
Wooster Ambulatory Surgery Center, LLC
$1,367.00Published rateEye Institute Surgery Center, LLC
Eye Institute Surgery Center LLC
$617.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 58275 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58275 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 58275 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 |
|---|---|---|
| 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. |
| 58270-CPT | High | Vaginal Hysterectomy, Surgery To Remove The Uterus Through The Cervix (Vaginal Hysterectomy). The Procedure May Be Aided By A Scope (Laparoscope). The Fallopian Tubes Or Ovaries Also May Be Removed. |
| 58275-CPT | High | Hysterectomy Vaginal Approach, Surgical Removal Of The Uterus Through An Incision In The Cervix (Vaginal Hysterectomy). All Or Part Of The Vaginal Walls Also May Be Removed. |
| 58280-CPT | High | Hysterectomy Vaginal Approach, Surgical Removal Of The Uterus Through An Incision In The Cervix (Vaginal Hysterectomy). All Or Part Of The Vaginal Walls Also May Be Removed. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58275. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58275 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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