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Procedure price report · Dilatation and curettage (D&C), aspiration after delivery or abortion

Surgical treatment of a second-trimester missed miscarriage

CPT 59821the billing code this page is about

A procedure to empty the uterus when a pregnancy has stopped developing in the second three months but has not passed on its own.

Hospitals typically charge $2,259 cash for this outpatient procedure — the median across 812 hospitals that filed a usable cash price; the average of the middle 60% is $2,582. Most fall between $793 and $5,741 (20th–80th percentile).

Hospitals
812
States
49
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 812 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
$569$910$2,259$4,595$8,425

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($569 vs $8,425).

How the prices are spread

$452 – $615: 56 hospitals$452$615 – $836: 78 hospitals$836 – $1,138: 111 hospitals$836$1,138 – $1,547: 57 hospitals$1,547 – $2,105: 48 hospitals$1,547$2,105 – $2,862: 46 hospitals$2,862 – $3,893: 91 hospitals$2,862$3,893 – $5,295: 107 hospitals$5,295 – $7,201: 67 hospitals$5,295$7,201 – $9,794: 76 hospitals$7,201median $2,259price bands are equal on a log scale
Hospitals per price band (737 of 812 — the bands cover the 5th to 95th percentile)
FromToHospitals
$452$61556
$615$83678
$836$1,138111
$1,138$1,54757
$1,547$2,10548
$2,105$2,86246
$2,862$3,89391
$3,893$5,295107
$5,295$7,20167
$7,201$9,79476

Against Medicare

Medicare pays (OPPS 2026, national rate)$3,307
Median cash price$2,259
Cash as a multiple of Medicare0.68×

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 $2,259.

Alaska: 7 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 6 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 9 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 8 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $4,948 across 29 hospitalsWA$4,948Idaho: median $2,548 across 12 hospitalsID$2,548Montana: median $988 across 11 hospitalsMT$988North Dakota: 4 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,020 across 25 hospitalsMN$1,020Illinois: median $831 across 25 hospitalsIL$831Wisconsin: median $1,389 across 35 hospitalsWI$1,389Michigan: median $910 across 36 hospitalsMI$910New York: median $3,763 across 57 hospitalsNY$3,763Massachusetts: median $3,638 across 17 hospitalsMA$3,638Oregon: median $1,039 across 28 hospitalsOR$1,039Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 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 $989 across 30 hospitalsIA$989Indiana: median $898 across 14 hospitalsIN$898Ohio: median $8,267 across 41 hospitalsOH$8,267Pennsylvania: median $3,728 across 16 hospitalsPA$3,728New Jersey: median $4,243 across 33 hospitalsNJ$4,243Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,446 across 78 hospitalsCA$4,446Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $889 across 10 hospitalsCO$889Nebraska: median $855 across 15 hospitalsNE$855Missouri: median $3,222 across 15 hospitalsMO$3,222Kentucky: 5 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 9 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $2,259 across 20 hospitalsVA$2,259Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 5 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $911 across 18 hospitalsKS$911Arkansas: 4 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,870 across 12 hospitalsTN$1,870North Carolina: median $2,125 across 12 hospitalsNC$2,125South Carolina: 8 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $622 across 17 hospitalsOK$622Louisiana: median $1,929 across 21 hospitalsLA$1,929Mississippi: 4 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 8 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,761 across 42 hospitalsTX$3,761Florida: median $4,286 across 19 hospitalsFL$4,286
Cash price by state, most expensive first. National median $2,259. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Ohio OH41$8,267+266%$901 – $9,052
Washington WA29$4,948+119%$894 – $7,016
California CA78$4,446+97%$1,412 – $9,794
Florida FL19$4,286+90%$3,000 – $10,108
New Jersey NJ33$4,243+88%$3,522 – $5,741
New York NY57$3,763+67%$935 – $5,220
Texas TX42$3,761+67%$2,111 – $4,147
Pennsylvania PA16$3,728+65%$939 – $5,991
Massachusetts MA17$3,638+61%$1,609 – $6,720
Missouri MO15$3,222+43%$587 – $5,609
Idaho ID12$2,548+13%$1,154 – $8,592
Virginia VA20$2,2590%$1,408 – $2,259
North Carolina NC12$2,125−6%$1,631 – $3,144
Louisiana LA21$1,929−15%$1,318 – $3,189
Tennessee TN12$1,870−17%$268 – $4,377
Wisconsin WI35$1,389−38%$983 – $2,706
Oregon OR28$1,039−54%$793 – $7,515
Minnesota MN25$1,020−55%$742 – $1,609
Iowa IA30$989−56%$785 – $1,047
Montana MT11$988−56%$670 – $1,305
Kansas KS18$911−60%$573 – $2,376
Michigan MI36$910−60%$687 – $3,483
Indiana IN14$898−60%$438 – $4,076
Colorado CO10$889−61%$565 – $4,107
Nebraska NE15$855−62%$489 – $1,591
Illinois IL25$831−63%$438 – $4,905
Oklahoma OK17$622−72%$622 – $2,389
Georgia GA9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
West Virginia WV9not enough hospitals filed a usable price
Alabama AL8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
New Hampshire NH8not enough hospitals filed a usable price
South Carolina SC8not enough hospitals filed a usable price
Alaska AK7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Maine ME6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Arizona AZ5not enough hospitals filed a usable price
Kentucky KY5not enough hospitals filed a usable price
Arkansas AR4not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Mississippi MS4not enough hospitals filed a usable price
North Dakota ND4not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
South Dakota SD2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Delaware DE1not 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 $2,259.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care625$3,359$899 – $6,402
Children’s7fewer than 20 hospitals
Critical access177$983$661 – $1,684
Ownership
For-profit62$3,958$672 – $8,044
Government144$1,332$756 – $3,935
Non-profit603$2,545$827 – $5,916
System affiliation
Part of a system644$3,000$849 – $6,165
Independent168$1,167$651 – $3,706

Cash price vs list price

Median list price (chargemaster)$3,098
Median cash price$2,259
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

503 hospitals filed a usable inpatient cash price for this code. The median is $2,138 and the average of the middle 60% is $2,620; most fall between $703 and $6,217.

Cash price percentiles, inpatient, across 503 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
$527$841$2,138$5,336$8,592

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($527 vs $8,592).

Of the 565 hospitals that filed this code inpatient, 503 gave a usable cash price; 38 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 24 a list price only.

How complete is this

812 of the 3,956 hospitals with a price file in our corpus (21%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 907 hospitals that filed this code at all gave us
Usable cash price — counted812
Cash price carrying a plausibility flag — shown on the compare tool, excluded here65
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded26
Hospitals that filed this code907

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 Dilatation and curettage (D&C), aspiration after delivery or abortion family.

Hospitals file this code under descriptions such as PR Surg Rx Missed Abortn,2nd Tri.

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, “Surgical treatment of a second-trimester missed miscarriage (CPT 59821) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-59821-surgical-treatment-of-a-second-trimester-missed-miscarriage