CPT 58285 Fee Schedule

Medicare rates as of October 2026

CPT 58285 is classified under Surgery, in the Surgical Procedures on the Female Genital System subgroup.

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.

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	$1,328.69 national non-facility rate (2026) · View Medicare rates for 58285
Medicaid Fee Schedule	$1,046.51 median of the 8 states in the free preview · View Medicaid rates for 58285

National average reimbursement for CPT 58285 by major payers:

$1,707.60

BCBS / Anthem

$1,847.52

UnitedHealthcare

$1,871.86

Aetna

$2,269.47

Cigna

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CPT 58285

5 of 25 sample ratesHigher to lower in this preview

Campus Surgery Center LLC
Campus Surgery Center L P
CAAmbulatory Surgical Clinic/CenterNPI 1063427557Tax ID 13-4334643
$6,756.00Published rate
Red Cedar Surgery Center, LLC, Red Cedar Surgery Center, PLLC
Red Cedar Surgery Center, PLLC
MIAmbulatory Surgical Clinic/CenterNPI 1104298009Tax ID 47-2947364
$1,274.00Published rate
Surgcenter Of Greater Jacksonville, LLC
Surgcenter Of Greater Jacksonville LLC
FLAmbulatory Surgical Clinic/CenterNPI 1104485440Tax ID 83-2504492
$983.00Published rate
Renaissance Surgery Center Of Chattanooga, LLC
Renaissance Surgery Center Of Chattanooga LLC
TNAmbulatory Surgical Clinic/CenterNPI 1841589116Tax ID 27-3013392
$582.00Published rate
Pmtc Surgery Center, Inc
Pmtc Surgery Center Inc
WIAmbulatory Surgical Clinic/CenterNPI 1457306888Tax ID 73-1651884
$104.00Published 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 58285 vs. Other Surgical Procedures on the Female Genital System Codes

The table lists codes related to 58285. Select one to see its fee schedule.

Code	Complexity	Description
58146-CPT	High	Myomectomy Abdom Complex, Myomectomy Excision Of Fibroid Tumor(S) Of Uterus 5 Or More Intramural Myomas And/Or Intramural Myomas With Total Weight Greater Than 250 Grams Abdominal Approach
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.
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.

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 58285. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 58285 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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