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Procedure price report · Other excision of cervix and uterus

Removal of up to 4 uterine fibroids through the vagina

CPT 58145the billing code this page is about

Surgery through the vagina to remove one to four fibroids in the uterine wall weighing 250 grams or less in total, and/or fibroids on the uterine surface, leaving the uterus in place.

Hospitals typically charge $2,375 cash for this outpatient procedure — the median across 559 hospitals that filed a usable cash price; the average of the middle 60% is $2,698. Most fall between $1,083 and $5,419 (20th–80th percentile).

Hospitals
559
States
48
Filings dated
Mar 2023 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 559 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$875$1,201$2,375$4,462$9,507

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($875 vs $9,507).

How the prices are spread

$617 – $813: 12 hospitals$617$813 – $1,072: 63 hospitals$1,072 – $1,414: 81 hospitals$1,072$1,414 – $1,864: 57 hospitals$1,864 – $2,458: 42 hospitals$1,864$2,458 – $3,241: 38 hospitals$3,241 – $4,273: 85 hospitals$3,241$4,273 – $5,634: 44 hospitals$5,634 – $7,428: 25 hospitals$5,634$7,428 – $9,794: 59 hospitals$7,428median $2,375price bands are equal on a log scale
Hospitals per price band (506 of 559 — the bands cover the 5th to 95th percentile)
FromToHospitals
$617$81312
$813$1,07263
$1,072$1,41481
$1,414$1,86457
$1,864$2,45842
$2,458$3,24138
$3,241$4,27385
$4,273$5,63444
$5,634$7,42825
$7,428$9,79459

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,307
Median cash price$2,375
Cash as a multiple of Medicare0.72×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $2,375.

Alaska: 2 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,207 across 22 hospitalsWA$2,207Idaho: median $4,343 across 10 hospitalsID$4,343Montana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,228 across 19 hospitalsMN$2,228Illinois: median $1,031 across 19 hospitalsIL$1,031Wisconsin: median $2,328 across 26 hospitalsWI$2,328Michigan: median $1,524 across 29 hospitalsMI$1,524New York: median $1,719 across 41 hospitalsNY$1,719Massachusetts: median $6,720 across 14 hospitalsMA$6,720Oregon: median $1,074 across 20 hospitalsOR$1,074Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 5 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,399 across 21 hospitalsIA$1,399Indiana: median $875 across 12 hospitalsIN$875Ohio: median $9,507 across 21 hospitalsOH$9,507Pennsylvania: median $4,937 across 14 hospitalsPA$4,937New Jersey: median $4,188 across 34 hospitalsNJ$4,188Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,854 across 57 hospitalsCA$4,854Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 7 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 5 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 8 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,201 across 14 hospitalsOK$1,201Louisiana: median $3,494 across 11 hospitalsLA$3,494Mississippi: 5 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 6 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 2 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 3 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,980 across 29 hospitalsTX$3,980Florida: median $5,018 across 20 hospitalsFL$5,018
Cash price by state, most expensive first. National median $2,375. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH21$9,507+300%$1,356 – $9,507
Massachusetts MA14$6,720+183%$3,633 – $8,515
Florida FL20$5,018+111%$824 – $7,944
Pennsylvania PA14$4,937+108%$3,728 – $6,847
California CA57$4,854+104%$2,099 – $9,794
Idaho ID10$4,343+83%$2,040 – $8,592
New Jersey NJ34$4,188+76%$3,522 – $5,419
Texas TX29$3,980+68%$2,946 – $4,853
Louisiana LA11$3,494+47%$999 – $6,691
Wisconsin WI26$2,328−2%$2,328 – $3,534
Minnesota MN19$2,228−6%$1,133 – $3,675
Washington WA22$2,207−7%$1,172 – $3,418
New York NY41$1,719−28%$1,295 – $3,763
Michigan MI29$1,524−36%$1,082 – $2,328
Iowa IA21$1,399−41%$1,155 – $1,523
Oklahoma OK14$1,201−49%$1,201 – $1,816
Oregon OR20$1,074−55%$1,030 – $1,628
Illinois IL19$1,031−57%$851 – $4,961
Indiana IN12$875−63%$633 – $1,302
New Hampshire NH9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
West Virginia WV7not enough hospitals filed a usable price
Alabama AL6not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Kansas KS5not enough hospitals filed a usable price
Mississippi MS5not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Hawaii HI3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Georgia GA2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $2,375.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care443$3,192$1,154 – $6,839
Children’s3fewer than 20 hospitals
Critical access112$1,524$1,044 – $2,928
Ownership
For-profit54$3,695$1,016 – $7,171
Government98$1,637$1,059 – $4,644
Non-profit406$2,505$1,124 – $5,741
System affiliation
Part of a system434$3,011$1,201 – $6,705
Independent125$1,605$996 – $4,000

Cash price vs list price

Median list price (chargemaster)$3,048
Median cash price$2,375
Cash as a share of list, median hospital61%

At the typical hospital, asking for the cash price cuts the list price by about 39%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

322 hospitals filed a usable inpatient cash price for this code. The median is $2,020 and the average of the middle 60% is $2,342; most fall between $1,026 and $5,018.

Cash price percentiles, inpatient, across 322 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$824$1,090$2,020$4,462$9,507

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($824 vs $9,507).

Of the 359 hospitals that filed this code inpatient, 322 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 13 a list price only.

How complete is this

559 of the 3,956 hospitals with a price file in our corpus (14%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 624 hospitals that filed this code at all gave us
Usable cash price — counted559
Cash price carrying a plausibility flag — shown on the compare tool, excluded here48
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded15
Hospitals that filed this code624

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other excision of cervix and uterus family.

Hospitals file this code under descriptions such as Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Removal of up to 4 uterine fibroids through the vagina (CPT 58145) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-58145-removal-of-up-to-4-uterine-fibroids-through-the-vagina