Surgical repair of vaginal defect using an endoscope
Medicare pricing data for 2,708 providers across 50 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Surgical repair of vaginal defect using an endoscope (HCPCS code 57425) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $765.93, but hospitals typically charge $2,795 — a 3.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $765.93, your out-of-pocket cost would be approximately $153.19. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $608.22 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Alaska | $1,048 | $6,677 | 9 | 35 | +36.8% |
| Georgia | $969 | $3,137 | 56 | 439 | +26.5% |
| Hawaii | $946 | $2,617 | 8 | 30 | +23.5% |
| Illinois | $934 | $4,048 | 70 | 337 | +22.0% |
| Maine | $913 | $2,215 | 10 | 36 | +19.2% |
| District of Columbia | $904 | $1,933 | 8 | 41 | +18.0% |
| Virginia | $897 | $2,413 | 52 | 404 | +17.0% |
| Michigan | $877 | $2,497 | 72 | 305 | +14.5% |
| Delaware | $849 | $2,156 | 15 | 88 | +10.8% |
| New York | $847 | $3,914 | 140 | 637 | +10.5% |
| Maryland | $846 | $2,257 | 44 | 253 | +10.4% |
| South Carolina | $833 | $2,384 | 46 | 252 | +8.7% |
| Mississippi | $831 | $2,115 | 24 | 168 | +8.5% |
| Rhode Island | $827 | $3,084 | 4 | 14 | +7.9% |
| New Hampshire | $825 | $4,503 | 11 | 54 | +7.7% |
| Indiana | $814 | $3,000 | 55 | 348 | +6.3% |
| Oklahoma | $812 | $2,194 | 45 | 309 | +6.0% |
| Tennessee | $808 | $2,427 | 58 | 369 | +5.5% |
| Florida | $808 | $3,631 | 207 | 1,346 | +5.5% |
| Missouri | $798 | $2,642 | 31 | 197 | +4.2% |
| Ohio | $780 | $2,895 | 76 | 345 | +1.8% |
| North Dakota | $771 | $2,725 | 6 | 25 | +0.7% |
| Arkansas | $769 | $1,996 | 22 | 207 | +0.3% |
| Texas | $768 | $2,769 | 197 | 1,306 | +0.2% |
| Kansas | $751 | $2,434 | 37 | 209 | -2.0% |
| Louisiana | $747 | $2,677 | 41 | 150 | -2.4% |
| Massachusetts | $742 | $2,738 | 68 | 303 | -3.1% |
| North Carolina | $742 | $2,640 | 70 | 437 | -3.2% |
| Pennsylvania | $740 | $2,411 | 112 | 634 | -3.3% |
| California | $734 | $2,622 | 250 | 1,187 | -4.1% |
| Arizona | $730 | $2,346 | 80 | 433 | -4.7% |
| Washington | $713 | $2,437 | 78 | 358 | -6.9% |
| Connecticut | $709 | $3,197 | 27 | 55 | -7.4% |
| Colorado | $708 | $2,451 | 62 | 396 | -7.6% |
| West Virginia | $707 | $2,627 | 19 | 78 | -7.7% |
| New Jersey | $699 | $3,157 | 65 | 486 | -8.8% |
| Wyoming | $697 | $2,792 | 8 | 34 | -9.0% |
| Iowa | $693 | $2,916 | 29 | 116 | -9.6% |
| Wisconsin | $688 | $6,567 | 42 | 163 | -10.2% |
| Minnesota | $682 | $3,246 | 64 | 261 | -11.0% |
| New Mexico | $680 | $2,341 | 16 | 56 | -11.2% |
| Montana | $675 | $2,291 | 24 | 143 | -11.9% |
| Alabama | $669 | $1,739 | 45 | 256 | -12.6% |
| Nevada | $638 | $2,173 | 34 | 148 | -16.7% |
| Kentucky | $635 | $1,937 | 33 | 159 | -17.1% |
| Nebraska | $601 | $2,082 | 41 | 305 | -21.5% |
| Idaho | $559 | $1,930 | 31 | 165 | -27.0% |
| Oregon | $550 | $2,154 | 53 | 228 | -28.2% |
| Utah | $540 | $1,504 | 30 | 140 | -29.6% |
| South Dakota | $536 | $2,602 | 25 | 79 | -30.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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