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Procedure price report · Hysterectomy, abdominal and vaginal

Vaginal hysterectomy, uterus over 250 grams

CPT 58290the billing code this page is about

Removal of the uterus and cervix through the vagina with no abdominal incision, for a uterus weighing more than 250 grams.

Hospitals typically charge $3,277 cash for this outpatient procedure — the median across 376 hospitals that filed a usable cash price; the average of the middle 60% is $4,225. Most fall between $1,912 and $8,877 (20th–80th percentile).

Hospitals
376
States
43
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 376 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
$1,458$2,026$3,277$8,185$13,647

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($1,458 vs $13,647).

How the prices are spread

$1,080 – $1,438: 21 hospitals$1,080$1,438 – $1,914: 48 hospitals$1,914 – $2,549: 57 hospitals$1,914$2,549 – $3,393: 50 hospitals$3,393 – $4,517: 26 hospitals$3,393$4,517 – $6,014: 30 hospitals$6,014 – $8,007: 30 hospitals$6,014$8,007 – $10,661: 40 hospitals$10,661 – $14,193: 29 hospitals$10,661$14,193 – $18,897: 11 hospitals$14,193median $3,277price bands are equal on a log scale
Hospitals per price band (342 of 376 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,080$1,43821
$1,438$1,91448
$1,914$2,54957
$2,549$3,39350
$3,393$4,51726
$4,517$6,01430
$6,014$8,00730
$8,007$10,66140
$10,661$14,19329
$14,193$18,89711

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,576
Median cash price$3,277
Cash as a multiple of Medicare0.43×

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 $3,277.

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: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 7 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 6 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 $2,355 across 11 hospitalsMN$2,355Illinois: median $2,204 across 15 hospitalsIL$2,204Wisconsin: median $4,310 across 11 hospitalsWI$4,310Michigan: median $2,026 across 23 hospitalsMI$2,026New York: median $7,053 across 30 hospitalsNY$7,053Massachusetts: no hospital in the corpus filed a usable priceMAOregon: median $2,168 across 16 hospitalsOR$2,168Nevada: 3 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 $2,886 across 20 hospitalsIA$2,886Indiana: 9 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $5,270 across 11 hospitalsOH$5,270Pennsylvania: median $10,698 across 11 hospitalsPA$10,698New Jersey: median $6,311 across 24 hospitalsNJ$6,311Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $13,647 across 27 hospitalsCA$13,647Utah: no hospital in the corpus filed a usable priceUTColorado: 6 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $2,986 across 10 hospitalsNE$2,986Missouri: 7 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 4 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 4 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: no hospital in the corpus filed a usable priceMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 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: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $1,912 across 14 hospitalsOK$1,912Louisiana: 6 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 1 hospital filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $6,873 across 25 hospitalsTX$6,873Florida: median $20,913 across 11 hospitalsFL$20,913
Cash price by state, most expensive first. National median $3,277. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL11$20,913+538%$7,423 – $22,955
California CA27$13,647+316%$2,569 – $13,647
Pennsylvania PA11$10,698+226%$5,663 – $13,934
New York NY30$7,053+115%$1,916 – $8,751
Texas TX25$6,873+110%$3,938 – $7,300
New Jersey NJ24$6,311+93%$4,627 – $8,192
Ohio OH11$5,270+61%$2,003 – $5,270
Wisconsin WI11$4,310+32%$4,310 – $5,569
Nebraska NE10$2,986−9%$1,730 – $4,798
Iowa IA20$2,886−12%$2,886 – $3,317
Minnesota MN11$2,355−28%$1,786 – $3,490
Illinois IL15$2,204−33%$1,663 – $3,750
Oregon OR16$2,168−34%$2,101 – $2,313
Michigan MI23$2,026−38%$2,026 – $2,404
Oklahoma OK14$1,912−42%$1,912 – $13,960
Idaho ID9not enough hospitals filed a usable price
Indiana IN9not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
Tennessee TN8not enough hospitals filed a usable price
Missouri MO7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Colorado CO6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Louisiana LA6not enough hospitals filed a usable price
Montana MT6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Kentucky KY4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Alaska AK2not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Carolina NC2not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Georgia GA1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Dakota SD1not 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 $3,277.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care287$4,036$1,912 – $9,736
Children’s3fewer than 20 hospitals
Critical access85$2,682$1,663 – $4,518
Ownership
For-profit38$3,605$1,663 – $10,698
Government73$2,861$1,827 – $8,751
Non-profit264$3,460$1,912 – $8,802
System affiliation
Part of a system286$3,986$1,912 – $9,453
Independent90$2,760$1,595 – $5,721

Cash price vs list price

Median list price (chargemaster)$3,957
Median cash price$3,277
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. 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

209 hospitals filed a usable inpatient cash price for this code. The median is $2,580 and the average of the middle 60% is $3,185; most fall between $1,663 and $6,873.

Cash price percentiles, inpatient, across 209 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
$1,303$1,827$2,580$6,708$13,647

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($1,303 vs $13,647).

Of the 248 hospitals that filed this code inpatient, 209 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 15 a list price only.

How complete is this

376 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 437 hospitals that filed this code at all gave us
Usable cash price — counted376
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 — excluded11
Hospitals that filed this code437

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 Hysterectomy, abdominal and vaginal family.

Hospitals file this code under descriptions such as Vaginal Hysterectomy Uterus > 250 Gm.

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, “Vaginal hysterectomy, uterus over 250 grams (CPT 58290) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-58290-vaginal-hysterectomy-uterus-over-250-grams