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See a sample rate comparisonCPT 58280 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 | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None GC - Service performed by resident under supervision 80 - Assistant surgeon AS - PA/NP/CNS assistant at surgery |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 58280 |
| Medicaid Fee Schedule | View Medicaid rates for 58280 |
National average reimbursement for CPT 58280 by major payers:
$1,277.35
$1,417.34
$1,390.31
$1,710.57
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CPT 58280
5 of 25 sample ratesHigher to lower in this preview
South Bend Specialty Surgery Center, LLC
South Bend Specialty Surgery Center LLC
$4,209.00Published rateHays Surgery Center, LLC
Hays Surgery Center LLC
$2,663.00Published rateEast Fort Lauderdale Asc LLC, Ft. Lauderdale Heart & Rhythm Surgery Center
East Fort Lauderdale Asc LLC
$1,792.00Published rateAffiliated Physicians & Surgeons, Ltd
Affiliated Physicians Surgeons Ltd
$1,505.00Published rateSurgicenter Of Norfolk, LLC, Fountain Point Surgery Center
Surgicenter Of Norfolk LLC
$945.00Published rate
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See a sample payer proposalCPT 58280 vs. Other Surgical Procedures on the Female Genital System Codes
The CPT 58280 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 58280 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 |
|---|---|---|
| 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 |
| 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. |
| 58285-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. |
| 58294-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. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58280. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 58280 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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