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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 With Biopsy Or Polyp Removal

1275 hospitals in 82 markets. National Medicare rate $3,307, surgery center $1,738.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)14$3,022$3,354$3,858$1,714–$5,670
Alaska (statewide)4———$4,810–$14,085
Arizona (statewide)10$2,768$4,042$4,584$1,954–$11,826
Arkansas (statewide)11$2,386$2,878$3,395$1,577–$4,395
Atlanta GA6$4,975$4,975$5,600$4,975–$5,809
Austin TX13$2,398$4,862$5,675$2,398–$5,675
Boston MA15$3,189$3,907$5,094$2,412–$6,365
California (statewide)71$4,427$6,406$10,552$2,567–$12,342
Charlotte NC6$3,780$3,780$3,780$3,729–$4,095
Chicago IL9$4,250$5,295$7,295$3,496–$7,494
Cleveland OH11$3,369$4,728$5,861$3,252–$6,249
Colorado (statewide)16$4,400$5,168$6,786$3,185–$9,461
Columbus OH1———$11,643–$11,643
Connecticut (statewide)3———$3,236–$13,487
Dallas-Fort Worth TX12$5,364$5,561$6,476$5,010–$10,357
Delaware (statewide)1———$8,797–$8,797
Denver CO15$3,816$5,492$6,381$3,185–$7,200
Detroit MI16$2,933$3,148$3,862$2,385–$5,812
Florida (statewide)62$5,718$7,444$8,474$1,870–$16,072
Georgia (statewide)30$3,594$5,406$5,994$2,228–$16,285
Hawaii (statewide)6$4,508$4,903$6,472$3,958–$8,080
Houston TX19$4,313$4,583$4,896$4,144–$6,179
Idaho (statewide)16$3,302$6,286$8,076$2,003–$10,540
Illinois (statewide)34$3,995$5,422$7,295$2,687–$9,654
Indiana (statewide)37$4,139$5,941$7,605$1,905–$15,689
Indianapolis IN2———$13,466–$14,527
Iowa (statewide)25$3,307$5,178$6,828$1,868–$9,901
Kansas (statewide)15$3,234$4,468$5,266$1,636–$14,085
Kentucky (statewide)18$3,813$4,348$5,202$2,152–$11,380
Las Vegas NV2———$2,625–$3,010
Los Angeles CA17$5,214$6,998$8,330$4,637–$14,342
Louisiana (statewide)20$3,020$3,614$4,052$1,788–$9,400
Maine (statewide)17$13,028$14,628$15,125$3,428–$19,017
Maryland (statewide)1———$6,382–$6,382
Massachusetts (statewide)7$2,700$3,619$3,926$2,503–$4,454
Miami-Fort Lauderdale FL2———$5,138–$5,936
Michigan (statewide)32$3,157$3,576$4,068$1,652–$4,697
Minneapolis-St. Paul MN9$4,679$4,679$5,521$2,980–$5,950
Minnesota (statewide)13$5,312$8,370$9,696$4,679–$11,558
Mississippi (statewide)20$3,776$4,240$4,749$2,423–$8,828
Missouri (statewide)25$4,341$5,023$5,969$2,046–$6,886
Montana (statewide)6$6,199$6,465$7,161$2,157–$9,226
Nashville TN8$4,017$4,160$5,151$2,582–$5,612
Nebraska (statewide)14$3,830$7,635$8,645$2,518–$18,020
Nevada (statewide)5$2,460$2,625$6,162$2,460–$7,561
New Hampshire (statewide)6$6,060$9,428$11,205$3,548–$14,496
New Jersey (statewide)28$4,765$6,125$7,530$3,474–$11,208
New Mexico (statewide)9$5,261$8,119$10,508$2,531–$13,729
New York (statewide)36$3,763$4,428$6,556$2,531–$10,230
New York City8$3,763$3,932$5,942$3,763–$8,726
North Carolina (statewide)10$4,179$6,658$8,441$2,792–$14,888
North Dakota (statewide)7$4,123$5,500$6,332$2,972–$7,705
Ohio (statewide)38$3,656$6,738$8,704$2,359–$12,442
Oklahoma (statewide)13$3,307$6,041$6,886$1,861–$10,430
Oregon (statewide)12$7,924$9,452$10,959$3,300–$14,400
Pennsylvania (statewide)47$3,484$6,413$7,980$2,536–$14,315
Philadelphia PA11$4,617$4,894$6,462$4,096–$11,208
Phoenix AZ8$3,298$3,594$3,770$2,936–$3,770
Pittsburgh PA10$3,849$5,591$6,603$2,738–$8,002
Portland OR9$10,273$10,273$11,960$10,064–$11,960
Research Triangle NC1———$2,675–$2,675
Rhode Island (statewide)5$4,346$6,070$6,467$3,941–$7,612
Richmond VA3———$7,051–$7,130
Rio Grande Valley TX6$4,207$4,288$5,464$4,056–$6,137
Salt Lake City UT9$6,290$6,290$6,290$6,290–$6,290
San Antonio TX3———$4,030–$5,421
San Diego CA7$7,078$7,078$7,124$5,954–$7,677
San Francisco Bay Area CA6$7,103$8,365$8,586$5,788–$22,041
Seattle-Tacoma WA16$8,735$8,894$11,046$8,076–$12,386
South Carolina (statewide)29$6,854$9,072$12,760$2,152–$14,603
South Dakota (statewide)4———$3,886–$15,365
St. Louis MO9$3,234$6,690$7,237$2,975–$8,558
Tampa FL6$8,481$8,481$8,481$3,812–$10,426
Tennessee (statewide)26$3,084$3,504$4,135$2,218–$5,960
Texas (statewide)80$3,939$5,023$5,435$1,892–$10,230
Utah (statewide)14$6,290$6,290$6,290$2,846–$10,773
Vermont (statewide)5$1,670$3,567$4,592$1,659–$5,259
Virginia (statewide)20$8,541$9,570$10,790$4,936–$14,453
Washington (statewide)15$5,588$8,700$9,505$1,883–$16,683
Washington DC10$5,264$5,689$5,689$4,169–$5,995
West Virginia (statewide)12$4,680$5,430$10,534$2,583–$21,551
Wisconsin (statewide)41$5,796$6,557$7,250$2,635–$12,836

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Mercy Hospital Fort SmithArkansas (statewide)$1,5770.5×62026-06-08
Amberwell HiawathaKansas (statewide)$1,6360.6×32026-08-18
Corewell Health Lakeland Hospitals St Joseph HospiMichigan (statewide)$1,6520.5×12026-05-01
Southwestern Vermont Medical CenterVermont (statewide)$1,6590.5×22025-01-01
Northeastern Vermont Regional HospitalVermont (statewide)$1,6700.5×22026-08-27
Usa Health University HospitalAlabama (statewide)$1,7140.6×12026-04-30
Usa Health Children'S & Women'S HospitalAlabama (statewide)$1,7140.6×12026-04-30
Amberwell Atchison AssociationKansas (statewide)$1,7480.6×12026-08-18
Ochsner American Legion HospitalLouisiana (statewide)$1,7880.6×42026-04-01
Oaklawn HospitalMichigan (statewide)$1,8100.6×22026-03-27
St Mary'S Regional Medical CenterOklahoma (statewide)$1,8610.6×12026-09-01
Clarinda Regional Health CenterIowa (statewide)$1,8680.6×12026-07-13
Northern Light Mayo HospitalMaine (statewide)$15,9305.0×22026-03-30
Hca Florida Twin Cities HospitalFlorida (statewide)$16,0724.8×82026-09-01
Northeast Georgia Medical Center, IncGeorgia (statewide)$16,2855.2×22026-04-01
Northeast Georgia Medical Center HabershamGeorgia (statewide)$16,2855.7×22026-04-01
Northeast Georgia Medical Center BarrowGeorgia (statewide)$16,2855.0×22026-04-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$16,2855.0×22026-04-01
Mary Bridge Children'S HospitalWashington (statewide)$16,3374.3×52026-08-27
Providence Centralia HospitalWashington (statewide)$16,6834.6×42026-04-01
Chi Health St FrancisNebraska (statewide)$18,0205.4×62026-02-28
Mainehealth Lincoln HospitalMaine (statewide)$19,0176.0×12025-09-09
Logan Regional Medical CenterWest Virginia (statewide)$21,5516.9×12026-04-01
Stanford Health CareSan Francisco Bay Area CA$22,0414.6×32026-04-01

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 hysteroscopy with biopsy or polyp removal?

Across 1275 hospitals in 82 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 58558, hospital outpatient is $5,478, 1.6× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,829 to $7,494. 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 Fort Smith ($1,577), Amberwell Hiawatha ($1,636), Corewell Health Lakeland Hospitals St Joseph Hospi ($1,652). Highest: Stanford Health Care ($22,041), Logan Regional Medical Center ($21,551), Mainehealth Lincoln Hospital ($19,017). Coverage: every hospital whose price file we could read.