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Tubal ligation (laparoscopic): what insurers pay

Laparoscopic tube blocking for permanent birth control. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 58671: Laparoscopy Tubal Block

79 hospitals in 28 markets. National Medicare rate $6,176, surgery center $3,031.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$6,285–$6,285
Austin TX2———$4,640–$10,922
Boston MA7$7,206$7,907$9,132$7,012–$11,016
California (statewide)1———$13,297–$13,297
Chicago IL5$8,281$8,969$9,330$8,176–$16,105
Cleveland OH4———$4,457–$14,023
Dallas-Fort Worth TX3———$9,800–$21,744
Denver CO7$6,480$6,648$11,424$6,314–$11,428
Detroit MI5$6,035$6,035$6,035$3,059–$9,407
Georgia (statewide)1———$7,973–$7,973
Houston TX1———$8,588–$8,588
Kansas (statewide)1———$9,733–$9,733
Las Vegas NV2———$5,346–$8,039
Los Angeles CA2———$16,883–$22,055
Nashville TN3———$3,411–$6,274
New York City1———$9,011–$9,011
Ohio (statewide)1———$9,915–$9,915
Pennsylvania (statewide)1———$16,555–$16,555
Philadelphia PA5$5,061$7,689$9,172$4,788–$11,208
Phoenix AZ3———$4,839–$7,488
Portland OR6$13,440$13,440$18,976$13,440–$20,822
Richmond VA2———$9,126–$10,242
San Antonio TX1———$10,312–$10,312
San Francisco Bay Area CA2———$20,580–$32,856
Seattle-Tacoma WA6$17,909$19,380$23,253$15,886–$25,676
Tampa FL2———$9,761–$12,975
Washington DC3———$4,169–$9,256
Wisconsin (statewide)1———$8,256–$8,256
HospitalMarketMedian across insurers× MedicareInsurersFile date
Henry Ford Health Rochester HospitalDetroit MI$3,0590.5×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$3,4110.6×12026-01-01
George Washington Univ HospitalWashington DC$4,1690.6×32026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$4,4570.8×32026-07-14
Ascension Seton Medical Center AustinAustin TX$4,6400.8×12026-01-01
Riddle Memorial HospitalPhiladelphia PA$4,7880.8×22026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$4,8390.8×32026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$4,8390.8×32026-04-01
Bryn Mawr HospitalPhiladelphia PA$5,0610.8×22026-04-01
Henderson HospitalLas Vegas NV$5,3460.8×12026-09-01
Vanderbilt University Medical CenterNashville TN$5,7761.0×72025-10-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$6,0351.0×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$6,0351.0×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$6,0351.0×12026-05-01
TriStar StoneCrest Medical CenterNashville TN$6,2741.1×52026-09-01
Emory University HospitalAtlanta GA$6,2851.0×62026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$6,3141.0×42026-09-01
HCA HealthONE SwedishDenver CO$6,3341.0×42026-09-01
HCA HealthONE Sky RidgeDenver CO$6,6271.0×42026-09-01
Hca Healthone RoseDenver CO$6,6481.0×42026-09-01
Beverly Hospital CorporationBoston MA$7,0121.0×32026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$7,0451.0×22026-04-01
Winchester HospitalBoston MA$7,3681.0×32026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$7,4881.2×22026-04-01
Jefferson Stratford HospitalPhiladelphia PA$7,6891.1×32026-09-15
New England Baptist HospitalBoston MA$7,9071.1×32026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$7,9731.5×32026-04-01
University Medical Center of Southern NevadaLas Vegas NV$8,0391.3×52026-07-01
Endeavor Health Edward HospitalChicago IL$8,1761.3×22026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$8,2561.4×32026-01-01
Endeavor Health Northwest Community HospitalChicago IL$8,2811.3×22026-04-01
Houston Methodist HospitalHouston TX$8,5881.4×52026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$8,8141.2×12026-04-01
Endeavor Health Elmhurst HospitalChicago IL$8,9691.4×22026-04-01
Montefiore Medical CenterNew York City$9,0111.2×82026-04-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$9,1261.6×52026-09-01
Thomas Jefferson University HospitalPhiladelphia PA$9,1721.5×32026-09-15
Reston Hospital CenterWashington DC$9,2561.5×52026-09-01
Stonesprings Hospital CenterWashington DC$9,2561.5×52026-09-01
Endeavor Health Evanston HospitalChicago IL$9,3301.4×22026-04-01
Harper University HospitalDetroit MI$9,4071.6×12026-09-02
Anna Jaques HospitalBoston MA$9,4501.3×22026-04-01
Menorah Medical CenterKansas (statewide)$9,7331.7×62026-09-01
Tampa General HospitalTampa FL$9,7611.6×22026-04-01
Medical City PlanoDallas-Fort Worth TX$9,8001.6×52026-09-01
Bethesda NorthOhio (statewide)$9,9151.7×42026-04-01
Henrico Doctors' HospitalRichmond VA$10,2421.7×52026-09-01
Methodist HospitalSan Antonio TX$10,3121.7×52026-09-01
Medina HospitalCleveland OH$10,8391.9×12026-06-15
St David's Medical CenterAustin TX$10,9221.8×52026-09-01
Beth Israel Deaconess Medical CenterBoston MA$11,0161.5×22026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$11,2081.6×12026-03-24
Medical City MckinneyDallas-Fort Worth TX$11,3301.9×52026-09-01
UCHealth University of Colorado HospitalDenver CO$11,4191.8×32025-11-01
Adventhealth PorterDenver CO$11,4281.8×22026-04-01
Adventhealth ParkerDenver CO$11,4281.8×22026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$12,3822.2×12026-06-15
Morton Plant HospitalTampa FL$12,9752.1×22026-01-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$13,2971.7×52026-09-01
Legacy Emanuel Medical CenterPortland OR$13,4402.0×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$13,4402.0×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$13,4402.0×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$13,4402.0×52026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$14,0232.5×12026-06-15
Overlake Hospital Medical CenterSeattle-Tacoma WA$15,8862.3×52026-04-01
University of Chicago Medical CenterChicago IL$16,1052.5×22026-04-01
Lehigh Valley HospitalPennsylvania (statewide)$16,5552.7×62026-07-01
Keck Hospital Of UscLos Angeles CA$16,8832.2×52026-04-01
St Clare HospitalSeattle-Tacoma WA$17,8302.5×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$18,1452.6×62026-02-28
John Muir Medical Center - Concord CampusSan Francisco Bay Area CA$20,5802.4×62026-03-23
Swedish Medical CenterSeattle-Tacoma WA$20,6162.9×52026-04-01
Providence St Vincent Medical CenterPortland OR$20,8223.1×32026-04-01
Providence Portland Medical CenterPortland OR$20,8223.1×32026-04-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$21,7443.6×22026-04-21
Cedars-Sinai Medical CenterLos Angeles CA$22,0552.8×32025-11-26
Tacoma General Allenmore HospitalSeattle-Tacoma WA$24,1323.4×52026-08-27
Multicare Good Samaritan HospitalSeattle-Tacoma WA$25,6763.6×42026-08-27
Stanford Health CareSan Francisco Bay Area CA$32,8563.7×42026-04-01

Questions

How much do commercial insurers pay hospitals for tubal ligation (laparoscopic)?

Across 79 hospitals in 28 metro areas that post a usable dollar rate, the median commercial rate for CPT 58671, hospital outpatient is $9,330, 1.5× the same hospital's local Medicare base rate. The middle half of hospitals runs $6,830 to $13,369. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for tubal ligation (laparoscopic)?

Medicare's national hospital outpatient rate for CPT 58671 is $6,176 and its surgery-center rate is $3,031, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for tubal ligation (laparoscopic)?

Lowest medians: Henry Ford Health Rochester Hospital ($3,059), Ascension Saint Thomas Hospital (Midtown + West) ($3,411), George Washington Univ Hospital ($4,169). Highest: Stanford Health Care ($32,856), Multicare Good Samaritan Hospital ($25,676), Tacoma General Allenmore Hospital ($24,132). Coverage is limited to the markets listed on this page.