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Pelvic prolapse repair in Pennsylvania: what insurers pay

Posted commercial rates at 4 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 57260

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$6,8121.3×22026-04-01
Bryn Mawr Hospital Bryn Mawr$7,1381.4×22026-04-01
Thomas Jefferson University Hospital Philadelphia$10,1102.0×32026-09-15
Lehigh Valley Hospital Allentown$13,6982.7×82026-07-01

CPT 57282

HospitalMedian across insurers× MedicareInsurersFile date
Bryn Mawr Hospital Bryn Mawr$7,1950.9×22026-04-01
Riddle Memorial Hospital Media$7,5401.0×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,4451.2×32026-09-15
Lehigh Valley Hospital Allentown$15,5122.1×72026-07-01

CPT 57425

HospitalMedian across insurers× MedicareInsurersFile date
Bryn Mawr Hospital Bryn Mawr$7,4170.7×22026-04-01
Thomas Jefferson University Hospital Philadelphia$8,6580.8×32026-09-15
Riddle Memorial Hospital Media$11,3081.0×22026-04-01
Lehigh Valley Hospital Allentown$22,2362.1×72026-07-01

Questions

How much do insurers pay for pelvic prolapse repair in Pennsylvania?

4 Pennsylvania hospitals post usable commercial rates for pelvic prolapse repair in their federal price-transparency files. For CPT 57260, hospital outpatient, the median across 4 hospitals is $8,624, 1.7× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.