Price Checker / CPT 58542
How much does Lsh W/t/o Ut 250 G Or Less cost?
CPT 58542 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 36x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,100–$2,200
What this should cost
With insurance
~$5,150
Typical out-of-pocket
Overcharged if over
$2,750
Push back above this
The average hospital charge of $58,800 is $57,150 over the fair price (about 36x the fair rate).
What hospitals charge for Lsh W/t/o Ut 250 G Or Less
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Franciscan Health Lafayette LAFAYETTE, IN | $116,282 | $29,884 | 15753% |
| Memorial Hermann Sugar Land Hospital SUGAR LAND, TX | $92,104 | — | 12457% |
| ST RITA'S MEDICAL CENTER Lima, OH | $142,438 | — | 11749% |
| Woman's Hospital BATON ROUGE, CA | $90,880 | — | 11547% |
| Franciscan Health Olympia Fields , IL | $81,064 | $16,213 | 10952% |
| Bon Secours St. Francis Xavier Hospital Inc Charleston, SC | $96,610 | — | 9611% |
| HCA FL Normandy Park ER ORANGE PARK, FL | — | — | 9137% |
| HCA FL MARICAMP ER OCALA, FL | — | — | 8739% |
| HCA FL SUMMERFIELD ER SUMMERFIELD, FL | — | — | 8739% |
| HCA FL BREAKFAST POINT ER PANAMA CITY BEACH, FL | — | — | 8718% |
| HCA FL PANAMA CITY ER PANAMA CITY, FL | — | — | 8718% |
| HCA FL PERDIDO BAY ER PENSACOLA, FL | — | — | 8718% |
| TIFFIN HOSPITAL Tiffin, OH | $73,974 | — | 8138% |
| BAYLOR SCOTT & WHITE MEDICAL CENTER - WAXAHACHIE Waxahachie, TX | — | — | 3777% |
| Monroe Regional Hospital ABERDEEN, MS | $25,240 | $25,240 | 3341% |
Were you billed for this procedure?
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About Lsh W/t/o Ut 250 G Or Less
CPT code 58542 refers to lsh w/t/o ut 250 g or less (billing description: "Lsh w/t/o ut 250 g or less"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $733 in a facility (hospital or surgery center) and $733 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.