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Bladder sling (stress incontinence): what insurers pay

A mesh or tissue sling under the urethra for leakage with coughing or exercise. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 57288: Bladder Sling (Stress Incontinence)

1146 hospitals in 79 markets. National Medicare rate $5,111, surgery center $2,974.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)13$4,301$5,098$5,588$2,365–$8,817
Alaska (statewide)4———$4,938–$24,352
Arizona (statewide)11$5,701$6,214$8,127$3,277–$15,671
Arkansas (statewide)9$4,468$5,792$5,798$3,768–$6,823
Atlanta GA6$6,822$7,006$7,006$6,760–$7,006
Austin TX13$4,101$7,444$7,444$4,101–$7,862
Boston MA11$6,458$8,634$9,199$4,532–$10,366
California (statewide)64$6,859$11,574$18,062$3,745–$19,345
Charlotte NC5$5,869$5,869$5,869$5,789–$5,869
Chicago IL9$7,320$8,167$10,607$5,081–$14,222
Cleveland OH11$5,206$6,034$8,038$4,118–$9,483
Colorado (statewide)13$6,239$8,138$8,515$3,118–$13,029
Columbus OH1———$17,993–$17,993
Connecticut (statewide)2———$7,643–$20,842
Dallas-Fort Worth TX12$7,616$9,749$10,950$7,612–$17,151
Denver CO15$6,239$8,649$10,618$4,409–$11,956
Detroit MI15$5,779$5,780$7,807$2,684–$8,898
Florida (statewide)58$10,650$11,502$13,099$2,897–$17,846
Georgia (statewide)28$5,680$6,760$7,572$3,110–$21,344
Hawaii (statewide)4———$6,437–$8,902
Houston TX19$6,600$7,765$8,372$5,533–$9,548
Idaho (statewide)15$5,645$5,866$11,138$4,635–$20,627
Illinois (statewide)26$6,230$7,518$10,607$4,300–$14,666
Indiana (statewide)34$6,873$12,218$18,577$4,316–$29,300
Indianapolis IN1———$34,932–$34,932
Iowa (statewide)23$5,636$7,215$10,772$2,653–$15,181
Kansas (statewide)14$6,923$7,188$9,196$3,490–$24,352
Kentucky (statewide)15$4,377$6,170$6,484$2,594–$8,328
Las Vegas NV2———$3,010–$3,949
Los Angeles CA17$9,004$10,591$12,025$7,730–$25,486
Louisiana (statewide)24$5,006$6,522$7,552$4,272–$12,408
Maine (statewide)17$20,227$22,711$23,483$5,298–$29,525
Massachusetts (statewide)6$5,288$6,215$6,744$4,718–$7,261
Miami-Fort Lauderdale FL1———$7,048–$7,048
Michigan (statewide)28$3,632$5,384$6,614$2,796–$8,623
Minneapolis-St. Paul MN7$7,604$7,679$7,737$6,581–$10,626
Minnesota (statewide)13$7,679$13,110$15,318$6,887–$18,389
Mississippi (statewide)18$6,679$7,118$7,590$4,741–$13,643
Missouri (statewide)21$5,182$6,808$7,622$2,634–$17,887
Montana (statewide)4———$10,102–$19,890
Nashville TN8$5,084$5,198$6,981$3,884–$10,175
Nebraska (statewide)11$10,462$11,294$12,168$3,949–$23,542
Nevada (statewide)5$4,065$4,065$9,522$3,949–$11,685
New Hampshire (statewide)6$14,494$15,803$16,497$11,248–$22,401
New Jersey (statewide)22$6,622$7,772$10,192$5,394–$16,414
New Mexico (statewide)8$5,642$8,381$10,833$3,103–$20,925
New York (statewide)32$5,694$8,005$11,051$4,602–$19,741
New York City8$4,623$4,656$9,129$4,568–$11,734
North Carolina (statewide)7$8,401$12,166$12,826$5,661–$16,161
North Dakota (statewide)5$8,783$8,927$9,080$8,540–$11,364
Ohio (statewide)39$7,440$10,527$14,536$2,699–$19,228
Oklahoma (statewide)12$5,875$9,800$11,050$2,544–$16,414
Oregon (statewide)7$12,641$14,244$18,804$11,235–$22,980
Pennsylvania (statewide)37$6,354$10,050$16,901$3,444–$23,012
Philadelphia PA11$7,585$7,922$9,491$6,869–$12,874
Phoenix AZ8$5,263$5,669$5,768$4,045–$6,064
Pittsburgh PA8$7,491$9,486$10,448$4,560–$12,425
Portland OR9$15,979$15,979$20,754$14,493–$20,754
Rhode Island (statewide)4———$5,788–$10,289
Richmond VA3———$9,483–$11,594
Rio Grande Valley TX5$6,501$6,615$7,858$6,501–$9,328
Salt Lake City UT9$6,816$6,915$6,915$4,528–$7,014
San Antonio TX3———$6,026–$6,316
San Diego CA7$10,938$10,938$11,008$9,008–$11,864
San Francisco Bay Area CA6$10,047$11,715$13,363$9,386–$35,977
Seattle-Tacoma WA16$14,042$14,614$17,572$13,089–$20,022
South Carolina (statewide)19$11,150$16,862$20,298$7,498–$23,229
South Dakota (statewide)3———$6,183–$25,829
St. Louis MO9$3,234$8,634$8,779$2,975–$9,889
Tampa FL6$9,714$9,714$9,728$9,714–$15,638
Tennessee (statewide)25$4,766$5,084$6,113$3,120–$10,213
Texas (statewide)77$5,533$7,644$9,696$2,563–$28,641
Utah (statewide)7$4,995$6,816$6,866$4,528–$17,660
Vermont (statewide)1———$6,121–$6,121
Virginia (statewide)20$13,123$15,018$16,673$7,718–$19,634
Washington (statewide)14$8,735$13,933$15,460$3,334–$27,411
Washington DC9$9,256$9,511$9,511$6,312–$9,511
West Virginia (statewide)10$7,593$8,390$14,452$5,479–$33,303
Wisconsin (statewide)41$7,043$12,251$12,596$2,594–$16,488

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Usa Health University HospitalAlabama (statewide)$2,3650.5×12026-04-30
St Mary'S Regional Medical CenterOklahoma (statewide)$2,5440.5×12026-09-01
Ennis Regional Medical CenterTexas (statewide)$2,5630.5×12026-04-01
Jackson Purchase Medical CenterKentucky (statewide)$2,5940.6×12026-07-10
Ascension St Francis HospitalWisconsin (statewide)$2,5940.5×12026-01-01
Ascension Se Wisconsin Hospital - St Joseph CampusWisconsin (statewide)$2,5940.5×12026-01-01
Tomah Memorial HospitalWisconsin (statewide)$2,5960.5×12026-06-30
Lafayette Regional Health CenterMissouri (statewide)$2,6340.5×42026-09-01
Decatur County HospitalIowa (statewide)$2,6530.6×12026-03-04
Ascension Ne Wisconsin - St Elizabeth CampusWisconsin (statewide)$2,6620.5×22026-01-01
Ascension Calumet HospitalWisconsin (statewide)$2,6620.5×22026-01-01
Henry Ford Health -St John HospitalDetroit MI$2,6840.5×12026-01-01
Cedars-Sinai Medical CenterLos Angeles CA$25,4864.0×32025-11-26
Same Day Surgery Center LlcSouth Dakota (statewide)$25,8295.0×22026-09-10
Mary Bridge Children'S HospitalWashington (statewide)$25,9924.5×52026-08-27
Providence Centralia HospitalWashington (statewide)$27,4114.9×42026-04-01
Parkview Regional Medical CenterIndiana (statewide)$28,6415.4×12026-09-01
Parkview Huntington HospitalIndiana (statewide)$28,6415.4×12026-09-01
Parkview HospitalTexas (statewide)$28,6415.7×12026-09-01
Franciscan Health CrawfordsvilleIndiana (statewide)$29,3005.5×32026-01-01
Mainehealth Lincoln HospitalMaine (statewide)$29,5256.0×12025-09-09
Logan Regional Medical CenterWest Virginia (statewide)$33,3036.9×12026-04-01
Franciscan Health IndianapolisIndianapolis IN$34,9326.6×12026-01-01
Stanford Health CareSan Francisco Bay Area CA$35,9774.9×32026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for bladder sling (stress incontinence)?

Across 1146 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 57288, hospital outpatient is $8,356, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $6,171 to $12,369. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for bladder sling (stress incontinence)?

Medicare's national hospital outpatient rate for CPT 57288 is $5,111 and its surgery-center rate is $2,974, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for bladder sling (stress incontinence)?

Lowest medians: Usa Health University Hospital ($2,365), St Mary'S Regional Medical Center ($2,544), Ennis Regional Medical Center ($2,563). Highest: Stanford Health Care ($35,977), Franciscan Health Indianapolis ($34,932), Logan Regional Medical Center ($33,303). Coverage: every hospital whose price file we could read.