How much does Medicare pay for CPT 57282?

Medicare allowed an average of $657.07 per service and paid $522.25 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3209.44, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 57282?

Repair of pelvic ligaments through vagina. It was billed 3,699 times to 3,687 Medicare beneficiaries by 181 providers in 2024.

Does 57282 pay differently in an office than a hospital?

Yes. The allowed amount averaged $424.02 in an office setting and $659.61 in a facility. The office rate is generally higher because the practice supplies the room, staff and equipment out of that single payment; in a hospital those are billed separately by the facility.

Which specialty bills 57282 most?

Obstetrics & Gynecology, with 2,321 services from 110 clinicians. Next are Urology, Ambulatory Surgical Center, Physician Assistant.

CPT 57282

Repair of pelvic ligaments through vagina

$657.07Medicare-allowed amount per service, averaged across 3,699 services

Providers submitted

$3209.44

Asking price, not received

Medicare allowed

$657.07

The fee schedule figure

Medicare paid

$522.25

Balance is patient coinsurance

Providers submitted an average of $3209.44 for this code and Medicare allowed $657.07 — 4.9× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $522.25 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $424.02
Hospital / facility: $659.61

The facility rate is higher for this code, which is unusual and generally means the service depends on equipment or staffing a hospital carries. 40 services were billed in an office setting and 3,659 in a facility.

Services: 3,699
Beneficiaries: 3,687
Providers billing it: 181
Total allowed: $2,430,502

What Medicare pays for CPT 57282

Across 3,699 services billed by 181 providers to 3,687 beneficiaries, Medicare allowed an average of $657.07 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 57282

Specialty	Services	Beneficiaries	Avg allowed	Providers
Obstetrics & Gynecology	2,321	2,315	$388.00	110
Urology	556	553	$458.69	34
Ambulatory Surgical Center	407	404	$2949.98	17
Physician Assistant	130	130	$59.15	8
Nurse Practitioner	126	126	$54.37	6
Undefined Physician type	97	97	$369.94	3
Gynecological Oncology	47	47	$483.56	2
General Surgery	15	15	$74.03	1

57282 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	456	$780.29	$643.84	22
Arizona	432	$1166.77	$953.96	15
California	291	$740.25	$513.75	15
New York	196	$611.50	$429.19	8
Tennessee	188	$984.50	$875.28	6
Missouri	185	$356.11	$290.18	5
Pennsylvania	159	$370.62	$289.26	7
Texas	143	$651.46	$556.85	10
Maryland	135	$1137.92	$946.21	6
Georgia	133	$398.68	$313.99	6
Illinois	133	$319.41	$244.96	8
New Jersey	130	$668.26	$497.99	8
South Carolina	118	$417.37	$342.32	7
Washington	110	$713.08	$511.40	6
Kansas	79	$337.00	$302.37	3
Wisconsin	74	$325.43	$291.43	6
Virginia	68	$407.51	$334.75	4
Arkansas	60	$341.24	$299.46	1
Massachusetts	56	$298.60	$221.77	4
Delaware	56	$474.52	$378.92	2
Connecticut	50	$420.71	$315.32	2
Michigan	45	$382.14	$299.14	3
Alabama	43	$450.24	$392.87	3
Ohio	40	$416.22	$335.29	2
Nebraska	37	$1316.92	$1082.44	3
Mississippi	37	$327.72	$269.90	3
Nevada	34	$485.43	$400.52	2
Oregon	33	$261.51	$209.47	2
North Carolina	33	$371.28	$313.26	2
Kentucky	33	$250.67	$189.21	2
Minnesota	23	$516.80	$405.28	2
Oklahoma	21	$404.06	$353.37	1
Iowa	15	$377.01	$353.98	1
West Virginia	14	$449.39	$330.40	1
Hawaii	14	$326.40	$276.27	1
Utah	13	$330.67	$271.61	1
Indiana	12	$375.30	$317.74	1

Related codes

57288Creation of sling around urethra in female to control leakage$577.84
57250Repair of herniated rectum into vaginal wall$337.21
57260Plastic repair of vagina and tissue separating vagina$551.79
57265Repair of bulging of rectum and bladder into vaginal wall$629.86
57283Repair of prolapsing vaginal vault through vagina$345.40
57267Insertion of artificial material for pelvic floor defect$225.45
57240Repair of bladder hernia into vaginal wall$442.59

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.