CPT 58291 Surgery - Female Genital
Vag hyst incl t/o complex Cost
Body System: Reproductive
Medicare Facility Rate
$1,093
CMS PFS CY2026
Medicare Non-Facility Rate
$1,093
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)
21.51
Work RVU
7.43
Facility PE RVU
3.77
Malpractice RVU
32.71
Total RVU
Frequently Asked Questions
How much does Vag hyst incl t/o complex cost?
The Medicare facility rate is $1,093. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $5. Ambulatory surgery center rate: $2.
How much does Vag hyst incl t/o complex 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 $1,093.