| Service Description | CPT Code | Charge Type | PrimaryCare Practice Price |
|---|---|---|---|
| HYSTERECTOMY,VAGINAL,TOTAL/PART VAGINECTOMY PP | 58275 | Prof | $2272.00 |
| HYSTERECTOMY,VAGINAL,TOTAL/PART VAGINECTOMY,REPAIR ENTEROCELE PP | 58280 | Prof | $2291.00 |
| HYSTERECTOMY,VAGINAL,UTERUS <=250G PP | 58260 | Prof | $1910.00 |
| HYSTERECTOMY,VAGINAL,UTERUS <=250G,COLPO-URETHROCYSTOPEXY PP | 58267 | Prof | $2298.00 |
| HYSTERECTOMY,VAGINAL,UTERUS <=250G,REMOVAL TUBES/OVARY(S) PP | 58262 | Prof | $2131.00 |
| HYSTERECTOMY,VAGINAL,UTERUS <=250G,REMOVAL TUBES/OVARY(S),REPAIR ENTEROCELE PP | 58263 | Prof | $2157.00 |
| HYSTERECTOMY,VAGINAL,UTERUS <=250G,W REPAIR ENTEROCELE PP | 58270 | Prof | $1920.00 |
| HYSTERECTOMY,VAGINAL,UTERUS >250G PP | 58290 | Prof | $2508.00 |
| HYSTERECTOMY,VAGINAL,UTERUS >250G,COPLO-URETHROCYSTEPEXY PP | 58293 | Prof | $2981.00 |
| HYSTERECTOMY,VAGINAL,UTERUS >250G,REMOVAL TUBES/OVARY(S) PP | 58291 | Prof | $2877.00 |
| HYSTERECTOMY,VAGINAL,UTERUS >250G,REPAIR ENTEROCELE PP | 58294 | Prof | $2657.00 |
| HYSTERECTOMY,VAGINAL,UTERUS >250G,RMVL TUBES/OVARY(S),REPAIR ENTEROCELE PP | 58292 | Prof | $2865.00 |
| HYSTERORRHAPHY OF RUPTURED UTERUS PP | 59350 | Prof | $616.00 |
| HYSTERORRHAPHY,REPAIR RUPTURED UTERUS(NONOB) PP | 58520 | Prof | $1792.00 |
| HYSTEROSALPINGOGRAPHY,RS&I PP | 74740 | Prof | $40.00 |
| HYSTEROSCOPY,DIAGNOSTIC PP | 58555 | Prof | $444.00 |
| HYSTEROSCOPY,DIVISION/RESECTION,INTRAUTERINE SEPTUM PP | 58560 | Prof | $844.00 |
| HYSTEROSCOPY,SURGICAL,W ENDOMETRIAL ABLATION PP | 58563 | Prof | $794.00 |
| HYSTEROSCOPY,SURGICAL,W REMOVAL IMPACTED FOREIGN BODY PP | 58562 | Prof | $673.00 |
| HYSTEROSCOPY,SURGICAL,W REMOVAL LEIOMYOMATA PP | 58561 | Prof | $1267.00 |
Primary Care Practices
ChristianaCare is a private not-for-profit regional health care system (tax exempt under
Section 501 (c)(3) of the Internal Revenue Code - ID Number 51-0103684) and relies in part on the generosity of individuals, foundations and corporations to fulfill its mission. To learn more about how you can support our mission, please visit christianacare.org/donors.
To view the pricing by insurance provider and self-pay of all our services, please visit https://billing.christianacare.org/transparency/chargemaster.
ChristianaCare, PO Box 1668, Wilmington, DE 19899 800-693-CARE
