CPT 58571 Surgery - Female Genital
Tlh w/t/o 250 g or less Cost
Body System: Reproductive
Medicare Facility Rate
$829
CMS PFS CY2026
Medicare Non-Facility Rate
$829
Office/clinic setting
Hospital Outpatient
$10
OPPS rate
Surgery Center (ASC)
$5
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
14.63
Work RVU
7.21
Facility PE RVU
2.97
Malpractice RVU
24.81
Total RVU
Frequently Asked Questions
How much does Tlh w/t/o 250 g or less cost?
The Medicare facility rate is $829. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $10. Ambulatory surgery center rate: $5.
How much does Tlh w/t/o 250 g or less 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 $829.