How much does Medicare pay for CPT 57283?

Medicare allowed an average of $345.40 per service and paid $275.02 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $2139.32, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 57283?

Repair of prolapsing vaginal vault through vagina. It was billed 2,790 times to 2,784 Medicare beneficiaries by 136 providers in 2024.

Which specialty bills 57283 most?

Obstetrics & Gynecology, with 1,947 services from 100 clinicians. Next are Physician Assistant, Urology, Undefined Physician type.

CPT 57283

Repair of prolapsing vaginal vault through vagina

$345.40Medicare-allowed amount per service, averaged across 2,790 services

Providers submitted

$2139.32

Asking price, not received

Medicare allowed

$345.40

The fee schedule figure

Medicare paid

$275.02

Balance is patient coinsurance

Providers submitted an average of $2139.32 for this code and Medicare allowed $345.40 — 6.2× 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 $275.02 (80%); the rest is the patient’s coinsurance and deductible.

Services: 2,790
Beneficiaries: 2,784
Providers billing it: 136
Total allowed: $963,666

What Medicare pays for CPT 57283

Across 2,790 services billed by 136 providers to 2,784 beneficiaries, Medicare allowed an average of $345.40 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 57283

Specialty	Services	Beneficiaries	Avg allowed	Providers
Obstetrics & Gynecology	1,947	1,944	$369.47	100
Physician Assistant	292	290	$49.00	12
Urology	181	180	$374.60	9
Undefined Physician type	136	136	$356.06	5
Nurse Practitioner	107	107	$47.76	7
Gynecological Oncology	104	104	$387.22	1
Ambulatory Surgical Center	23	23	$2973.67	2

57283 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
Arizona	302	$244.06	$203.99	7
California	256	$291.13	$222.87	14
Florida	232	$346.28	$265.91	10
Maryland	193	$379.14	$284.18	5
Illinois	181	$341.36	$265.87	8
Texas	156	$312.33	$258.69	7
Virginia	151	$552.31	$447.42	10
North Carolina	137	$167.39	$137.44	5
Ohio	129	$395.77	$323.07	7
South Dakota	109	$240.89	$199.54	5
Pennsylvania	104	$383.70	$307.27	9
New Jersey	89	$421.50	$301.73	5
Kansas	78	$737.26	$615.78	3
Kentucky	74	$307.52	$248.89	4
Minnesota	69	$372.24	$293.88	4
Oregon	49	$259.89	$216.09	3
New York	47	$404.66	$273.88	3
Tennessee	46	$376.55	$322.07	3
Colorado	46	$357.32	$287.57	2
District of Columbia	44	$387.37	$282.98	3
Washington	43	$311.95	$232.03	3
Missouri	35	$465.95	$367.66	2
New Hampshire	29	$368.44	$290.82	2
Wisconsin	28	$352.22	$293.62	2
Montana	26	$48.43	$37.23	1
Massachusetts	25	$354.25	$274.22	1
Indiana	19	$374.97	$316.93	1
Iowa	17	$353.00	$305.69	1
South Carolina	17	$439.30	$338.57	1
Hawaii	13	$372.65	$295.39	1
Arkansas	12	$311.15	$273.44	1
Oklahoma	12	$352.56	$297.47	1
Nebraska	11	$323.90	$274.12	1
Utah	11	$409.66	$323.70	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
57282Repair of pelvic ligaments through vagina$657.07
57265Repair of bulging of rectum and bladder into vaginal wall$629.86
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.