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Hysteroscopy with biopsy or polyp removal: what insurers pay

A scope inside the uterus with sampling of the lining or polyp removal. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 58558: Hysteroscopy Biopsy

104 hospitals in 36 markets. National Medicare rate $3,307, surgery center $1,738.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$4,975–$4,975
Austin TX2———$2,398–$6,035
Boston MA7$3,254$3,696$4,465$2,982–$5,660
California (statewide)1———$11,855–$11,855
Chicago IL5$4,598$5,295$5,908$3,751–$7,494
Cleveland OH5$5,512$5,520$6,514$3,256–$7,542
Dallas-Fort Worth TX4———$6,093–$9,360
Denver CO7$3,628$5,182$5,381$2,492–$5,980
Detroit MI7$2,933$3,363$3,816$2,933–$5,812
Georgia (statewide)1———$5,051–$5,051
Houston TX1———$4,093–$4,093
Illinois (statewide)1———$2,687–$2,687
Kansas (statewide)1———$6,290–$6,290
Las Vegas NV2———$2,460–$3,553
Los Angeles CA2———$11,866–$14,342
Miami-Fort Lauderdale FL2———$6,259–$9,088
Minneapolis-St. Paul MN1———$2,980–$2,980
Nashville TN4———$2,582–$5,612
New York (statewide)1———$5,783–$5,783
New York City2———$6,002–$9,025
Ohio (statewide)1———$6,918–$6,918
Philadelphia PA5$4,642$7,409$9,172$4,420–$11,208
Phoenix AZ3———$3,418–$3,770
Pittsburgh PA1———$5,397–$5,397
Portland OR6$10,273$10,273$11,538$10,273–$11,960
Research Triangle NC1———$2,675–$2,675
Richmond VA2———$7,051–$7,051
Salt Lake City UT3———$6,057–$6,290
San Antonio TX1———$5,500–$5,500
San Diego CA1———$4,163–$4,163
San Francisco Bay Area CA3———$12,246–$22,041
Seattle-Tacoma WA6$9,704$10,501$12,611$8,657–$13,962
St. Louis MO6$4,348$7,422$8,229$2,022–$9,237
Tampa FL2———$3,812–$8,481
Washington DC5$4,625$4,625$4,974$3,400–$5,955
Wisconsin (statewide)1———$4,744–$4,744
HospitalMarketMedian across insurers× MedicareInsurersFile date
Mercy Hospital JeffersonSt. Louis MO$2,0220.6×12026-06-10
Ascension Seton Medical Center AustinAustin TX$2,3980.7×12026-01-01
Henderson HospitalLas Vegas NV$2,4600.7×42026-09-01
Adventhealth PorterDenver CO$2,4920.7×42026-04-01
Adventhealth ParkerDenver CO$2,4920.7×42026-04-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$2,5820.8×22026-01-01
North Carolina Specialty HospitalResearch Triangle NC$2,6750.8×12026-02-25
Sarah Bush Lincoln Health CenterIllinois (statewide)$2,6870.8×12026-06-03
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2,9330.9×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$2,9330.9×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$2,9330.9×12026-05-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$2,9800.9×42026-03-31
Winchester HospitalBoston MA$2,9820.8×42026-04-01
Vanderbilt University Medical CenterNashville TN$3,1481.0×72025-10-01
Beverly Hospital CorporationBoston MA$3,1860.8×52026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$3,2561.1×32026-07-14
Beth Israel Deaconess Hospital - PlymouthBoston MA$3,3230.9×22026-04-01
Trinity Health Oakland HospitalDetroit MI$3,3631.0×162026-03-31
George Washington Univ HospitalWashington DC$3,4000.9×32026-09-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$3,4181.0×42026-04-01
Mercy Hospital St LouisSt. Louis MO$3,5411.1×12026-06-04
University Medical Center of Southern NevadaLas Vegas NV$3,5531.0×72026-07-01
Mclaren Port HuronDetroit MI$3,6741.1×12025-12-31
Lahey Hospital & Medical Center, BurlingtonBoston MA$3,6960.9×22026-04-01
Endeavor Health Northwest Community HospitalChicago IL$3,7511.1×32026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$3,7701.1×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$3,7701.1×52026-04-01
Tampa General HospitalTampa FL$3,8121.1×32026-04-01
New England Baptist HospitalBoston MA$3,9561.0×42026-04-01
Henry Ford Health Rochester HospitalDetroit MI$3,9591.2×12026-01-01
Houston Methodist HospitalHouston TX$4,0931.3×62026-04-01
Scripps Green HospitalSan Diego CA$4,1631.0×12026-03-30
Riddle Memorial HospitalPhiladelphia PA$4,4201.3×22026-04-01
Endeavor Health Edward HospitalChicago IL$4,5981.3×22026-04-01
Reston Hospital CenterWashington DC$4,6251.4×52026-09-01
Stonesprings Hospital CenterWashington DC$4,6251.4×52026-09-01
Bryn Mawr HospitalPhiladelphia PA$4,6421.4×22026-04-01
TriStar StoneCrest Medical CenterNashville TN$4,7161.5×52026-09-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$4,7441.5×32026-01-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$4,7641.4×52026-09-01
Anna Jaques HospitalBoston MA$4,9741.3×32026-04-01
Medstar Washington Hospital CenterWashington DC$4,9741.3×52026-04-01
Emory University HospitalAtlanta GA$4,9751.5×62026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$5,0511.8×32026-04-01
HCA HealthONE SwedishDenver CO$5,1821.5×52026-09-01
HCA HealthONE Sky RidgeDenver CO$5,2701.5×52026-09-01
Endeavor Health Elmhurst HospitalChicago IL$5,2951.5×22026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$5,3971.7×12026-03-06
Hca Healthone RoseDenver CO$5,4921.6×52026-09-01
Methodist HospitalSan Antonio TX$5,5001.7×52026-09-01
Cleveland Clinic Lutheran HospitalCleveland OH$5,5121.8×22026-06-15
Medina HospitalCleveland OH$5,5201.8×32026-06-15
Ascension Saint Thomas RutherfordNashville TN$5,6121.8×22026-01-01
Beth Israel Deaconess Medical CenterBoston MA$5,6601.5×22026-04-01
Stony Brook University HospitalNew York (statewide)$5,7831.4×52026-06-10
Harper University HospitalDetroit MI$5,8121.8×12026-09-02
Endeavor Health Evanston HospitalChicago IL$5,9081.7×22026-04-01
Inova Alexandria HospitalWashington DC$5,9551.8×52026-04-01
UCHealth University of Colorado HospitalDenver CO$5,9801.8×32025-11-01
Montefiore Medical CenterNew York City$6,0021.5×92026-04-01
St David's Medical CenterAustin TX$6,0351.9×52026-09-01
Mckay-Dee HospitalSalt Lake City UT$6,0571.9×22026-08-05
Baylor University Medical CenterDallas-Fort Worth TX$6,0931.9×32026-06-29
Mount Sinai Medical Center Of Florida, IncMiami-Fort Lauderdale FL$6,2591.9×52026-03-13
Menorah Medical CenterKansas (statewide)$6,2902.0×52026-09-01
Intermountain Health Utah Valley HospitalSalt Lake City UT$6,2901.9×22026-08-05
Lds HospitalSalt Lake City UT$6,2901.9×22026-08-05
Medical City PlanoDallas-Fort Worth TX$6,3702.0×52026-09-01
Cleveland Clinic (main campus)Cleveland OH$6,5142.1×22026-06-16
Missouri Baptist Medical CenterSt. Louis MO$6,7712.1×52025-12-15
Bethesda NorthOhio (statewide)$6,9182.2×42026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$7,0512.2×52026-09-01
Henrico Doctors' HospitalRichmond VA$7,0512.2×52026-09-01
Medical City MckinneyDallas-Fort Worth TX$7,1952.2×52026-09-01
Jefferson Stratford HospitalPhiladelphia PA$7,4092.0×32026-09-15
University of Chicago Medical CenterChicago IL$7,4942.2×22026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$7,5422.5×22026-06-15
Barnes-Jewish St Peters HospitalSt. Louis MO$8,0722.5×52025-12-15
Mercy Hospital SouthSt. Louis MO$8,2812.5×22026-06-10
Morton Plant HospitalTampa FL$8,4812.5×32026-01-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$8,6572.3×52026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$9,0252.2×72026-01-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$9,0882.7×22026-06-15
Thomas Jefferson University HospitalPhiladelphia PA$9,1722.8×32026-09-15
Barnes Jewish HospitalSt. Louis MO$9,2372.9×52025-12-15
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$9,3602.9×22026-04-21
St Clare HospitalSeattle-Tacoma WA$9,6612.6×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$9,8322.6×62026-02-28
Legacy Emanuel Medical CenterPortland OR$10,2732.9×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$10,2732.9×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$10,2732.9×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$10,2732.9×52026-04-01
Swedish Medical CenterSeattle-Tacoma WA$11,1703.0×52026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$11,2083.1×12026-03-24
Los Robles Hospital & Medical CenterCalifornia (statewide)$11,8552.9×52026-09-01
Keck Hospital Of UscLos Angeles CA$11,8662.9×52026-04-01
Providence St Vincent Medical CenterPortland OR$11,9603.3×32026-04-01
Providence Portland Medical CenterPortland OR$11,9603.3×32026-04-01
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$12,2462.7×62026-03-23
John Muir Medical Center - Concord CampusSan Francisco Bay Area CA$12,4712.7×62026-03-23
Tacoma General Allenmore HospitalSeattle-Tacoma WA$13,0913.5×52026-08-27
Multicare Good Samaritan HospitalSeattle-Tacoma WA$13,9623.7×42026-08-27
Cedars-Sinai Medical CenterLos Angeles CA$14,3423.5×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$22,0414.6×32026-04-01

Questions

How much do commercial insurers pay hospitals for hysteroscopy with biopsy or polyp removal?

Across 104 hospitals in 36 metro areas that post a usable dollar rate, the median commercial rate for CPT 58558, hospital outpatient is $5,566, 1.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,770 to $8,124. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for hysteroscopy with biopsy or polyp removal?

Medicare's national hospital outpatient rate for CPT 58558 is $3,307 and its surgery-center rate is $1,738, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for hysteroscopy with biopsy or polyp removal?

Lowest medians: Mercy Hospital Jefferson ($2,022), Ascension Seton Medical Center Austin ($2,398), Henderson Hospital ($2,460). Highest: Stanford Health Care ($22,041), Cedars-Sinai Medical Center ($14,342), Multicare Good Samaritan Hospital ($13,962). Coverage is limited to the markets listed on this page.