CPT 57250 Surgery - Female Genital
Repair rectum & vagina Cost
Body System: Reproductive
Medicare Facility Rate
$545
CMS PFS CY2026
Medicare Non-Facility Rate
$545
Office/clinic setting
Hospital Outpatient
$5
OPPS rate
Surgery Center (ASC)
$2
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
9.83
Work RVU
4.85
Facility PE RVU
1.65
Malpractice RVU
16.33
Total RVU
Frequently Asked Questions
How much does Repair rectum & vagina cost?
The Medicare facility rate is $545. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $5. Ambulatory surgery center rate: $2.
How much does Repair rectum & vagina cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $545.