Procedure price report · Other excision of cervix and uterus

Removal of 5 or more or heavier uterine fibroids, open

CPT code CPT 58146the billing code this page is about

Surgery through an abdominal incision to remove five or more fibroids in the uterine wall, or fibroids weighing more than 250 grams in total, leaving the uterus in place.

Hospitals typically charge $2,896 cash for this outpatient procedure — the median across 345 hospitals that filed a usable cash price; the average of the middle 60% is $3,080. Most fall between $1,541 and $5,339 (20th–80th percentile).

Hospitals
345
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 345 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
$1,196$1,816$2,896$5,013$14,664

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($1,196 vs $14,664).

How the prices are spread

$671 – $965: 3 hospitals$671$965 – $1,390: 28 hospitals$1,390 – $2,000: 54 hospitals$1,390$2,000 – $2,880: 62 hospitals$2,880 – $4,146: 61 hospitals$2,880$4,146 – $5,969: 59 hospitals$5,969 – $8,593: 12 hospitals$5,969$8,593 – $12,370: 7 hospitals$12,370 – $17,808: 12 hospitals$12,370$17,808 – $25,636: 13 hospitals$17,808median $2,896price bands are equal on a log scale
Hospitals per price band (311 of 345 — the bands cover the 5th to 95th percentile)
FromToHospitals
$671$9653
$965$1,39028
$1,390$2,00054
$2,000$2,88062
$2,880$4,14661
$4,146$5,96959
$5,969$8,59312
$8,593$12,3707
$12,370$17,80812
$17,808$25,63613

By state

The median cash price in each state, against the national median of $2,896.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 3 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 5 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 6 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 8 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 6 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 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 $4,273 across 19 hospitalsMN$4,273Illinois: median $2,896 across 18 hospitalsIL$2,896Wisconsin: median $4,695 across 20 hospitalsWI$4,695Michigan: median $2,026 across 26 hospitalsMI$2,026New York: median $1,876 across 25 hospitalsNY$1,876Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $2,896 across 16 hospitalsIA$2,896Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $5,220 across 10 hospitalsOH$5,220Pennsylvania: 8 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $4,460 across 20 hospitalsNJ$4,460Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $3,092 across 15 hospitalsCA$3,092Utah: no hospital in the corpus filed a usable priceUTColorado: 4 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 4 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 3 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,242 across 12 hospitalsWV$1,242Virginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 4 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 5 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 2 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureNCSouth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,453 across 11 hospitalsOK$2,453Louisiana: 5 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 7 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: 5 hospitals filed a usable price — fewer than 10, so no figureHITexas: 8 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: median $12,931 across 13 hospitalsFL$12,931
Cash price by state, most expensive first. National median $2,896. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL13$12,931+347%$5,288 – $19,160
Ohio OH10$5,220+80%$1,483 – $5,288
Wisconsin WI20$4,695+62%$3,321 – $4,695
New Jersey NJ20$4,460+54%$1,546 – $5,741
Minnesota MN19$4,273+48%$1,907 – $5,013
California CA15$3,092+7%$937 – $12,240
Iowa IA16$2,8960%$2,896 – $2,896
Illinois IL18$2,8960%$1,541 – $4,816
Oklahoma OK11$2,453−15%$2,453 – $2,453
Michigan MI26$2,026−30%$1,760 – $2,026
New York NY25$1,876−35%$968 – $3,562
West Virginia WV12$1,242−57%$1,184 – $3,268
Indiana IN8not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Pennsylvania PA8not enough hospitals filed a usable price
Texas TX8not enough hospitals filed a usable price
Washington WA8not enough hospitals filed a usable price
Alabama AL7not enough hospitals filed a usable price
Idaho ID6not enough hospitals filed a usable price
New Hampshire NH6not enough hospitals filed a usable price
Arkansas AR5not enough hospitals filed a usable price
Hawaii HI5not enough hospitals filed a usable price
Louisiana LA5not enough hospitals filed a usable price
Vermont VT5not enough hospitals filed a usable price
Colorado CO4not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Kansas KS4not enough hospitals filed a usable price
Missouri MO4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Kentucky KY3not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
South Carolina SC2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Tennessee TN2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
North Carolina NC1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Rhode Island RI1not 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 $2,896.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care262$2,896$1,546 – $6,145
Children’s5fewer than 20 hospitals
Critical access77$2,896$1,541 – $4,695
Ownership
For-profit29$3,268$1,541 – $10,740
Government61$2,937$1,816 – $6,999
Non-profit254$2,896$1,541 – $5,288
System affiliation
Part of a system268$2,896$1,541 – $5,288
Independent77$2,916$1,816 – $6,999

Cash price vs list price

Median list price (chargemaster)$3,910
Median cash price$2,896
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

193 hospitals filed a usable inpatient cash price for this code. The median is $2,255 and the average of the middle 60% is $2,417; most fall between $1,431 and $4,234.

Cash price percentiles, inpatient, across 193 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
$1,143$1,541$2,255$3,355$4,695

The most expensive tenth of hospitals charges at least 4.1× what the cheapest tenth charges ($1,143 vs $4,695).

Of the 233 hospitals that filed this code inpatient, 193 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 15 a list price only.

How complete is this

345 of the 3,956 hospitals with a price file in our corpus (9%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 424 hospitals that filed this code at all gave us
Usable cash price — counted345
Cash price carrying a plausibility flag — shown on the compare tool, excluded here43
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 — excluded34
Hospitals that filed this code424

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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.

Hospitals file this code under descriptions such as Myomectomy 5/> Myomas &/>250 Gm Abdomina.

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 5 or more or heavier uterine fibroids, open (CPT 58146) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-58146-removal-of-5-or-more-or-heavier-uterine-fibroids-open