CPT 58294 Surgery - Female Genital
Vag hyst w/enterocele compl Cost
Body System: Reproductive
Medicare Facility Rate
$1,070
CMS PFS CY2026
Medicare Non-Facility Rate
$1,070
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)
21.01
Work RVU
7.33
Facility PE RVU
3.68
Malpractice RVU
32.02
Total RVU
Frequently Asked Questions
How much does Vag hyst w/enterocele compl cost?
The Medicare facility rate is $1,070. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $5. Ambulatory surgery center rate: $2.
How much does Vag hyst w/enterocele compl 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 $1,070.