How much does Medicare pay for CPT 58262?

Medicare allowed an average of $748.80 per service and paid $592.23 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $3038.99, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 58262?

Removal of uterus, tubes, and/or ovaries through vagina, 250.0 g or less. It was billed 1,232 times to 1,232 Medicare beneficiaries by 71 providers in 2024.

Does 58262 pay differently in an office than a hospital?

Yes. The allowed amount averaged $885.59 in an office setting and $747.57 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 58262 most?

Obstetrics & Gynecology, with 813 services from 48 clinicians. Next are Physician Assistant, Undefined Physician type, Nurse Practitioner.

CPT 58262

Removal of uterus, tubes, and/or ovaries through vagina, 250.0 g or less

$748.80Medicare-allowed amount per service, averaged across 1,232 services

Providers submitted

$3038.99

Asking price, not received

Medicare allowed

$748.80

The fee schedule figure

Medicare paid

$592.23

Balance is patient coinsurance

Providers submitted an average of $3038.99 for this code and Medicare allowed $748.80 — 4.1× 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 $592.23 (79%); the rest is the patient’s coinsurance and deductible.

Office pays differently to hospital

Office / non-facility: $885.59
Hospital / facility: $747.57

The office rate is higher because the practice supplies the room, staff and equipment out of that payment. In a hospital the facility bills those separately, so the clinician's share is smaller — the total cost to Medicare is usually higher, not lower. 11 services were billed in an office setting and 1,221 in a facility.

Services: 1,232
Beneficiaries: 1,232
Providers billing it: 71
Total allowed: $922,522

What Medicare pays for CPT 58262

Across 1,232 services billed by 71 providers to 1,232 beneficiaries, Medicare allowed an average of $748.80 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 58262

Specialty	Services	Beneficiaries	Avg allowed	Providers
Obstetrics & Gynecology	813	813	$889.88	48
Physician Assistant	151	151	$126.03	9
Undefined Physician type	101	101	$909.91	4
Nurse Practitioner	93	93	$126.81	5
Urology	61	61	$949.15	4
Ambulatory Surgical Center	13	13	$1417.55	1

58262 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
California	235	$720.08	$514.17	13
Texas	135	$651.63	$504.81	6
Arizona	131	$661.65	$540.01	5
Florida	107	$675.57	$495.83	5
Kansas	58	$839.34	$714.20	3
North Carolina	52	$530.73	$416.19	4
Ohio	42	$889.05	$719.19	3
Illinois	38	$882.72	$698.90	3
Tennessee	36	$840.12	$726.05	1
South Dakota	36	$860.17	$713.75	2
Maryland	35	$987.07	$696.53	2
Pennsylvania	35	$932.94	$727.16	3
New Jersey	30	$897.78	$634.71	2
Minnesota	30	$885.52	$721.43	2
New York	28	$1062.67	$724.20	2
Wisconsin	26	$844.77	$724.78	2
Virginia	24	$857.25	$705.96	2
Oregon	22	$524.27	$387.92	2
Washington	20	$964.97	$709.06	1
Nevada	19	$128.06	$49.53	1
Montana	15	$123.88	$56.02	1
Colorado	15	$919.24	$728.09	1
District of Columbia	15	$1029.49	$734.37	1
Missouri	13	$897.19	$726.94	1
New Hampshire	12	$874.07	$674.62	1
Georgia	12	$785.04	$637.48	1
Nebraska	11	$825.02	$725.35	1

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.