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Procedure price report · Hysterectomy, abdominal and vaginal

Vaginal hysterectomy, large uterus, tube or ovary removal

CPT 58291the billing code this page is about

Removal of a uterus weighing more than 250 grams through the vagina, together with removal of one or both fallopian tubes and/or ovaries.

Hospitals typically charge $4,345 cash for this outpatient procedure — the median across 433 hospitals that filed a usable cash price; the average of the middle 60% is $4,401. Most fall between $2,065 and $8,346 (20th–80th percentile).

Hospitals
433
States
44
Filings dated
Dec 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 433 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
$1,536$2,228$4,345$6,986$12,527

The most expensive tenth of hospitals charges at least 8.2× what the cheapest tenth charges ($1,536 vs $12,527).

How the prices are spread

$1,171 – $1,543: 25 hospitals$1,171$1,543 – $2,032: 36 hospitals$2,032 – $2,677: 68 hospitals$2,032$2,677 – $3,527: 42 hospitals$3,527 – $4,646: 36 hospitals$3,527$4,646 – $6,120: 72 hospitals$6,120 – $8,061: 46 hospitals$6,120$8,061 – $10,619: 28 hospitals$10,619 – $13,988: 31 hospitals$10,619$13,988 – $18,426: 9 hospitals$13,988median $4,345price bands are equal on a log scale
Hospitals per price band (393 of 433 — the bands cover the 5th to 95th percentile)
FromToHospitals
$1,171$1,54325
$1,543$2,03236
$2,032$2,67768
$2,677$3,52742
$3,527$4,64636
$4,646$6,12072
$6,120$8,06146
$8,061$10,61928
$10,619$13,98831
$13,988$18,4269

Against Medicare

Medicare pays (OPPS 2026, national rate)$5,111
Median cash price$4,345
Cash as a multiple of Medicare0.85×

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 $4,345.

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: 6 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 7 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: 5 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 $4,220 across 20 hospitalsMN$4,220Illinois: median $2,386 across 15 hospitalsIL$2,386Wisconsin: median $5,055 across 28 hospitalsWI$5,055Michigan: median $2,228 across 28 hospitalsMI$2,228New York: median $5,111 across 32 hospitalsNY$5,111Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $2,269 across 14 hospitalsOR$2,269Nevada: 5 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 $3,130 across 20 hospitalsIA$3,130Indiana: 7 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $5,533 across 10 hospitalsOH$5,533Pennsylvania: 9 hospitals filed a usable price — fewer than 10, so no figurePANew Jersey: median $5,464 across 30 hospitalsNJ$5,464Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $12,527 across 30 hospitalsCA$12,527Utah: no hospital in the corpus filed a usable priceUTColorado: 5 hospitals filed a usable price — fewer than 10, so no figureCONebraska: median $3,284 across 10 hospitalsNE$3,284Missouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $1,388 across 10 hospitalsWV$1,388Virginia: 4 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: no hospital in the corpus filed a usable priceNMKansas: 7 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 9 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $2,065 across 12 hospitalsOK$2,065Louisiana: median $2,356 across 10 hospitalsLA$2,356Mississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $7,530 across 25 hospitalsTX$7,530Florida: 7 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $4,345. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA30$12,527+188%$2,773 – $12,527
Texas TX25$7,530+73%$4,351 – $7,785
Ohio OH10$5,533+27%$2,146 – $5,736
New Jersey NJ30$5,464+26%$4,881 – $6,472
New York NY32$5,111+18%$2,409 – $5,842
Wisconsin WI28$5,055+16%$4,345 – $6,014
Minnesota MN20$4,220−3%$1,937 – $6,897
Nebraska NE10$3,284−24%$1,883 – $5,206
Iowa IA20$3,130−28%$3,130 – $3,611
Illinois IL15$2,386−45%$1,824 – $14,810
Louisiana LA10$2,356−46%$1,776 – $9,149
Oregon OR14$2,269−48%$2,269 – $2,342
Michigan MI28$2,228−49%$2,228 – $5,055
Oklahoma OK12$2,065−52%$2,065 – $2,065
West Virginia WV10$1,388−68%$1,276 – $4,588
Idaho ID9not enough hospitals filed a usable price
Pennsylvania PA9not enough hospitals filed a usable price
Tennessee TN9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Florida FL7not enough hospitals filed a usable price
Indiana IN7not enough hospitals filed a usable price
Kansas KS7not enough hospitals filed a usable price
New Hampshire NH7not enough hospitals filed a usable price
Washington WA7not enough hospitals filed a usable price
Missouri MO6not enough hospitals filed a usable price
Vermont VT6not enough hospitals filed a usable price
Colorado CO5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Montana MT5not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Wyoming WY5not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Virginia VA4not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Maine ME3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Massachusetts MA1not 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 $4,345.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care325$5,055$2,181 – $9,302
Children’s4fewer than 20 hospitals
Critical access103$3,012$1,824 – $5,963
Ownership
For-profit40$5,055$1,824 – $9,306
Government68$3,246$1,964 – $7,244
Non-profit324$4,345$2,065 – $7,903
System affiliation
Part of a system339$5,055$2,181 – $9,290
Independent94$2,849$1,696 – $6,139

Cash price vs list price

Median list price (chargemaster)$4,668
Median cash price$4,345
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

223 hospitals filed a usable inpatient cash price for this code. The median is $3,130 and the average of the middle 60% is $3,762; most fall between $1,883 and $7,785.

Cash price percentiles, inpatient, across 223 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
$1,519$2,065$3,130$7,217$11,891

The most expensive tenth of hospitals charges at least 7.8× what the cheapest tenth charges ($1,519 vs $11,891).

Of the 255 hospitals that filed this code inpatient, 223 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 8 a list price only.

How complete is this

433 of the 3,956 hospitals with a price file in our corpus (11%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 485 hospitals that filed this code at all gave us
Usable cash price — counted433
Cash price carrying a plausibility flag — shown on the compare tool, excluded here44
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded8
Hospitals that filed this code485

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 Vag Hyst > 250 Gm Rmvl Tube&/Ovary.

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, large uterus, tube or ovary removal (CPT 58291) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-58291-vaginal-hysterectomy-large-uterus-tube-or-ovary-removal