Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Miscarriage procedure (D&C): what insurers pay

Surgical completion of a first-trimester miscarriage. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 59820: Miscarriage Procedure (D&C)

1210 hospitals in 81 markets. National Medicare rate $3,307, surgery center $1,738.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)12$2,808$3,100$3,846$2,146–$5,670
Alaska (statewide)4———$2,807–$9,222
Arizona (statewide)9$3,389$4,038$6,272$1,997–$8,493
Arkansas (statewide)8$2,418$2,863$3,910$1,577–$6,500
Atlanta GA10$4,728$5,554$5,554$4,656–$6,179
Austin TX13$2,398$5,254$5,675$2,398–$6,100
Boston MA15$3,837$4,528$5,094$2,125–$6,990
California (statewide)67$4,920$7,525$12,031$2,478–$14,645
Charlotte NC5$3,780$3,780$3,780$3,729–$3,780
Chicago IL10$4,464$5,466$7,061$3,660–$7,494
Cleveland OH11$4,594$5,037$5,816$4,074–$6,738
Colorado (statewide)13$3,778$4,923$6,874$2,596–$10,799
Columbus OH1———$11,643–$11,643
Connecticut (statewide)3———$2,768–$13,487
Dallas-Fort Worth TX14$5,023$5,876$6,260$4,862–$10,357
Delaware (statewide)1———$8,797–$8,797
Denver CO15$3,586$5,270$6,057$2,596–$8,000
Detroit MI16$2,450$2,814$3,080$2,430–$5,812
Florida (statewide)58$5,432$6,726$7,488$1,890–$13,397
Georgia (statewide)40$4,435$4,945$6,179$2,100–$18,402
Hawaii (statewide)6$5,340$6,138$7,853$3,958–$8,670
Houston TX19$4,669$4,807$5,307$4,297–$6,179
Idaho (statewide)14$3,798$6,739$8,076$2,827–$13,990
Illinois (statewide)31$3,773$4,982$6,904$1,995–$9,446
Indiana (statewide)32$5,137$6,772$9,252$3,180–$15,689
Indianapolis IN2———$13,466–$14,527
Iowa (statewide)20$3,307$4,444$6,442$1,700–$11,294
Kansas (statewide)20$2,243$3,776$5,114$1,912–$9,222
Kentucky (statewide)16$3,318$4,450$5,296$1,845–$6,148
Las Vegas NV2———$3,010–$3,802
Los Angeles CA17$6,035$7,730$9,180$5,612–$22,055
Louisiana (statewide)22$2,954$3,216$3,994$2,107–$9,400
Maine (statewide)16$13,028$14,786$15,125$3,428–$19,017
Massachusetts (statewide)7$3,349$4,463$4,882$2,700–$5,197
Miami-Fort Lauderdale FL1———$4,872–$4,872
Michigan (statewide)27$2,219$2,884$3,360$1,810–$4,116
Minneapolis-St. Paul MN9$4,236$4,326$4,518$2,842–$6,055
Minnesota (statewide)12$6,515$8,478$10,307$4,326–$12,719
Mississippi (statewide)13$4,154$4,396$5,387$3,292–$8,828
Missouri (statewide)25$4,341$5,023$6,897$1,707–$23,158
Montana (statewide)5$6,253$6,677$7,322$3,811–$9,226
Nashville TN8$3,758$4,034$4,591$1,869–$6,662
Nebraska (statewide)13$5,734$9,834$11,294$3,802–$23,542
Nevada (statewide)5$3,428$3,802$5,032$3,428–$7,561
New Hampshire (statewide)6$8,691$10,129$12,552$6,251–$14,496
New Jersey (statewide)28$4,641$6,078$7,771$3,371–$12,874
New Mexico (statewide)9$5,528$6,378$9,323$1,621–$10,890
New York (statewide)33$3,776$4,980$7,129$2,531–$10,768
New York City8$3,763$3,892$7,504$3,763–$10,280
North Carolina (statewide)7$4,613$6,331$8,300$2,061–$9,044
North Dakota (statewide)6$5,505$5,641$6,798$4,159–$7,705
Ohio (statewide)37$5,037$7,098$9,922$1,913–$12,442
Oklahoma (statewide)13$3,307$6,041$6,886$2,544–$12,190
Oregon (statewide)12$7,924$9,424$10,959$3,532–$14,400
Pennsylvania (statewide)42$4,316$6,948$10,748$2,167–$14,891
Philadelphia PA11$5,999$6,757$9,182$4,994–$12,874
Phoenix AZ8$4,043$4,175$4,305$4,038–$4,305
Pittsburgh PA8$5,083$6,283$6,730$3,853–$8,002
Portland OR9$11,261$11,261$11,960$10,938–$11,960
Research Triangle NC3———$6,035–$8,364
Rhode Island (statewide)5$4,346$6,070$6,979$3,549–$7,808
Richmond VA3———$6,884–$8,137
Rio Grande Valley TX6$4,247$4,514$6,112$4,207–$6,895
Salt Lake City UT9$7,575$9,190$9,190$2,846–$9,190
San Antonio TX3———$4,180–$4,807
San Diego CA7$7,078$7,078$7,124$5,954–$7,677
San Francisco Bay Area CA6$8,079$8,365$10,010$7,630–$19,251
Seattle-Tacoma WA16$8,860$9,146$11,046$8,345–$12,386
South Carolina (statewide)29$6,944$9,287$13,486$3,392–$23,229
South Dakota (statewide)3———$3,344–$15,365
St. Louis MO8$3,169$4,711$6,188$2,975–$8,358
Tampa FL6$8,481$8,481$8,481$4,236–$15,638
Tennessee (statewide)25$3,084$3,454$3,950$2,218–$6,818
Texas (statewide)82$3,749$5,023$5,710$2,035–$10,230
Utah (statewide)7$3,902$9,190$10,790$2,846–$10,806
Vermont (statewide)2———$3,628–$4,235
Virginia (statewide)17$9,060$9,206$10,729$5,210–$12,281
Washington (statewide)14$7,188$9,310$9,678$1,888–$16,337
Washington DC11$5,274$6,026$6,026$3,948–$7,082
West Virginia (statewide)9$5,408$5,452$10,523$3,529–$21,551
Wisconsin (statewide)35$6,168$7,651$7,771$4,744–$12,836

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Mercy Hospital Fort SmithArkansas (statewide)$1,5770.5×62026-06-08
Cibola General HospitalNew Mexico (statewide)$1,6210.5×12026-09-27
Manning Regional Healthcare CenterIowa (statewide)$1,7000.6×12026-07-01
Mercy Hospital JoplinMissouri (statewide)$1,7070.5×162026-06-09
Mercy Hospital SpringfieldMissouri (statewide)$1,7070.5×182026-06-04
Oaklawn HospitalMichigan (statewide)$1,8100.6×22026-03-27
Jackson Purchase Medical CenterKentucky (statewide)$1,8450.6×12026-07-10
Corewell Health Zeeland HospitalMichigan (statewide)$1,8580.6×22026-05-01
Corewell Health Big Rapids HospitalMichigan (statewide)$1,8580.6×22026-05-01
Corewell Health Gerber HospitalMichigan (statewide)$1,8580.6×22026-05-01
Corewell Health Pennock HospitalMichigan (statewide)$1,8580.6×22026-05-01
Ascension Saint Thomas RutherfordNashville TN$1,8690.6×12026-01-01
Mcleod Health ClarendonSouth Carolina (statewide)$17,0745.7×22026-07-20
Northeast Georgia Medical Center, IncGeorgia (statewide)$18,4025.9×22026-04-01
Northeast Georgia Medical Center HabershamGeorgia (statewide)$18,4026.5×22026-04-01
Northeast Georgia Medical Center BarrowGeorgia (statewide)$18,4025.7×22026-04-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$18,4025.7×22026-04-01
Mainehealth Lincoln HospitalMaine (statewide)$19,0176.0×12025-09-09
Stanford Health CareSan Francisco Bay Area CA$19,2514.0×22026-04-01
Logan Regional Medical CenterWest Virginia (statewide)$21,5516.9×12026-04-01
Cedars-Sinai Medical CenterLos Angeles CA$22,0555.3×32025-11-26
Mercy Hospital AuroraMissouri (statewide)$23,1587.1×12026-06-10
Mcleod Medical Center - DillonSouth Carolina (statewide)$23,2297.7×12026-07-20
Chi Health St FrancisNebraska (statewide)$23,5427.0×62026-02-28

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 miscarriage procedure (d&c)?

Across 1210 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 59820, hospital outpatient is $5,718, 1.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $4,039 to $7,956. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for miscarriage procedure (d&c)?

Medicare's national hospital outpatient rate for CPT 59820 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 miscarriage procedure (d&c)?

Lowest medians: Mercy Hospital Fort Smith ($1,577), Cibola General Hospital ($1,621), Manning Regional Healthcare Center ($1,700). Highest: Chi Health St Francis ($23,542), Mcleod Medical Center - Dillon ($23,229), Mercy Hospital Aurora ($23,158). Coverage: every hospital whose price file we could read.