58573 — Tlh W/t/o Uterus Over 250 G
$2,529
All-payer median here
$1,904
Cash / self-pay here
5
payer/plan-name variants
Median over current-blob negotiated rates (COALESCE of standard / median / min–max midpoint, $0.01–$5M sentinel guard). Payers are canonical-grouped where a mapping exists; unmapped regional-plan name variants may appear as separate rows.