Indiana · 58571

Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250.0 G Or Less in Indiana

Indiana Medicare Avg
$502.43
9% below national avg
National Medicare Avg
$550.36
All states combined
Billed Charge (IN)
$3,094.69
What providers submit
Est. Commercial (IN)
$1,325.17
National avg: $1,550.78
Est. Cash / Self-Pay (IN)
$1,324.31
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

820
Services in IN
184
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Indiana

Provider Medicare Services
Mutone, Martina M.D. $362.82 33

Indiana Pricing in Context

In Indiana, CPT code 58571 (Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250.0 G Or Less) carries an average Medicare payment of $502.43 — 9% below the national benchmark of $550.36. 184 providers across the state submitted claims for this procedure in 2023, performing 820 total services. Individual payments in IN ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Indiana is $3,094.69, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Indiana sits below the national Medicare average, commercial rates in the state may also run lower than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Female Reproductive Surgery procedures, the estimated commercial insurance price in Indiana lands near $1,325.17, with self-pay cash prices typically around $1,324.31. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250.0 G Or Less cost in Indiana?

The average Medicare payment for Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250.0 G Or Less in Indiana is $502.43, which is 9% below the national average of $550.36. Providers in IN typically bill $3,094.69 for this procedure.

What does Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250.0 G Or Less cost with insurance in Indiana?

With commercial insurance in Indiana, Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250.0 G Or Less costs an estimated $1,325.17. Without insurance, the estimated cash price is $1,324.31. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250.0 G Or Less in Indiana?

184 providers in Indiana billed Medicare for Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250.0 G Or Less in 2023, performing 820 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250.0 G Or Less cheaper in Indiana than the national average?

Yes — Removal Of Uterus, Tubes, And/or Ovaries Through Abdomen Using An Endoscope, 250.0 G Or Less costs 9% below the national average in Indiana. The state average Medicare payment is $502.43 compared to $550.36 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial