No office rate
Use 57285 for the vaginal route to a paravaginal defect; 57284 describes the open abdominal route.
On this page
CMS RVU26D · Effective 2026-10-01
57285 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$608.56
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Urogynecologic surgery
About 57285: Vaginal paravaginal defect repair
Reports vaginal reconstruction of a lateral vaginal support defect, commonly performed for prolapse caused by detachment of the vaginal wall from its pelvic support.
A urogynecologist, gynecologist, or pelvic reconstructive surgeon uses a vaginal route to restore support where the lateral vaginal wall has separated from its pelvic attachment. The repair may address an associated cystocele when that correction is part of the same operation. It is typically performed in a facility operating room for vaginal prolapse caused by a paravaginal defect.
Choose this code when the operative report documents repair of the lateral support defect through the vagina, rather than a central anterior wall repair or an abdominal approach. The note should identify the defect, route, and repair performed. The 90-day global includes the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Assistant-at-surgery payment and co-surgeons are permitted; team surgery is not. Modifier 50 is inappropriate for this code.
CMS billing rules for 57285
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Assistant at surgery may be paid.
- Co-surgeons
- Co-surgeons permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU11.31 · 61%
- Practice expense (office) RVU5.20 · 28%
- Malpractice RVU1.90 · 10%
815
Medicare services in 2024 · #3128 by national volume
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
57285 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
57240 addresses anterior vaginal wall repair, typically a central defect. This code is for restoring lateral vaginal support; a cystocele repaired as part of that work is included.
No office rate
57260 combines anterior and posterior vaginal wall repairs. It is not the specific choice for a lateral paravaginal defect repaired vaginally.
The same code, a different location
How does Redding compare?
57285 across payment areas
Same release and payment basis · bars start at $0
Redding · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Madera
California · 57285
Office
Unavailable
Facility
$608.56
No comparable office rate is available.
Merced
California · 57285
Office
Unavailable
Facility
$608.56
No comparable office rate is available.
Modesto
California · 57285
Office
Unavailable
Facility
$608.56
No comparable office rate is available.
Napa
California · 57285
Office
Unavailable
Facility
$662.72
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 57285
Office
Unavailable
Facility
$633.17
No comparable office rate is available.
Rest Of California
California · 57285
Office
Unavailable
Facility
$608.56
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 57285
Office
Unavailable
Facility
$629.06
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 57285
Office
Unavailable
Facility
$627.37
No comparable office rate is available.
Salinas
California · 57285
Office
Unavailable
Facility
$624.79
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 57285
Office
Unavailable
Facility
$631.22
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 57285
Office
Unavailable
Facility
$687.68
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 57285
Office
Unavailable
Facility
$685.52
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 57285
Office
Unavailable
Facility
$703.79
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 57285
Office
Unavailable
Facility
$694.97
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 57285
Office
Unavailable
Facility
$616.03
No comparable office rate is available.
Santa Cruz-Watsonville
California · 57285
Office
Unavailable
Facility
$630.74
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 57285
Office
Unavailable
Facility
$624.87
No comparable office rate is available.
Santa Rosa-Petaluma
California · 57285
Office
Unavailable
Facility
$636.40
No comparable office rate is available.
Stockton
California · 57285
Office
Unavailable
Facility
$608.56
No comparable office rate is available.
Vallejo
California · 57285
Office
Unavailable
Facility
$659.61
No comparable office rate is available.
Visalia
California · 57285
Office
Unavailable
Facility
$608.56
No comparable office rate is available.
Yuba City
California · 57285
Office
Unavailable
Facility
$608.56
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 57285
Office
Unavailable
Facility
$673.40
No comparable office rate is available.
Miami
Florida · 57285
Office
Unavailable
Facility
$719.06
No comparable office rate is available.
Chicago
Illinois · 57285
Office
Unavailable
Facility
$700.61
No comparable office rate is available.
Manhattan
New York · 57285
Office
Unavailable
Facility
$704.41
No comparable office rate is available.
Alaska*
Alaska · 57285
Office
Unavailable
Facility
$786.59
No comparable office rate is available.
Alabama
Alabama · 57285
Office
Unavailable
Facility
$565.66
No comparable office rate is available.
Arkansas
Arkansas · 57285
Office
Unavailable
Facility
$559.64
No comparable office rate is available.
Arizona
Arizona · 57285
Office
Unavailable
Facility
$600.39
No comparable office rate is available.
Colorado
Colorado · 57285
Office
Unavailable
Facility
$616.66
No comparable office rate is available.
Connecticut
Connecticut · 57285
Office
Unavailable
Facility
$649.17
No comparable office rate is available.
Delaware
Delaware · 57285
Office
Unavailable
Facility
$608.31
No comparable office rate is available.
Fort Lauderdale
Florida · 57285
Office
Unavailable
Facility
$668.45
No comparable office rate is available.
Rest Of Florida
Florida · 57285
Office
Unavailable
Facility
$639.19
No comparable office rate is available.
Atlanta
Georgia · 57285
Office
Unavailable
Facility
$631.58
No comparable office rate is available.
Rest Of Georgia
Georgia · 57285
Office
Unavailable
Facility
$608.34
No comparable office rate is available.
Hawaii, Guam
Hawaii · 57285
Office
Unavailable
Facility
$611.99
No comparable office rate is available.
Iowa
Iowa · 57285
Office
Unavailable
Facility
$561.88
No comparable office rate is available.
Idaho
Idaho · 57285
Office
Unavailable
Facility
$567.57
No comparable office rate is available.
East St. Louis
Illinois · 57285
Office
Unavailable
Facility
$665.37
No comparable office rate is available.
Rest Of Illinois
Illinois · 57285
Office
Unavailable
Facility
$635.53
No comparable office rate is available.
Suburban Chicago
Illinois · 57285
Office
Unavailable
Facility
$671.24
No comparable office rate is available.
Indiana
Indiana · 57285
Office
Unavailable
Facility
$569.61
No comparable office rate is available.
Kansas
Kansas · 57285
Office
Unavailable
Facility
$566.76
No comparable office rate is available.
Kentucky
Kentucky · 57285
Office
Unavailable
Facility
$590.24
No comparable office rate is available.
New Orleans
Louisiana · 57285
Office
Unavailable
Facility
$613.29
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 57285
Office
Unavailable
Facility
$592.27
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 57285
Office
Unavailable
Facility
$657.11
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 57285
Office
Unavailable
Facility
$617.28
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 57285
Office
Unavailable
Facility
$648.67
No comparable office rate is available.
Rest Of Maryland
Maryland · 57285
Office
Unavailable
Facility
$615.57
No comparable office rate is available.
Rest Of Maine
Maine · 57285
Office
Unavailable
Facility
$577.03
No comparable office rate is available.
Southern Maine
Maine · 57285
Office
Unavailable
Facility
$589.93
No comparable office rate is available.
Detroit
Michigan · 57285
Office
Unavailable
Facility
$652.37
No comparable office rate is available.
Rest Of Michigan
Michigan · 57285
Office
Unavailable
Facility
$607.99
No comparable office rate is available.
Minnesota
Minnesota · 57285
Office
Unavailable
Facility
$575.27
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 57285
Office
Unavailable
Facility
$602.86
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 57285
Office
Unavailable
Facility
$606.70
No comparable office rate is available.
Rest Of Missouri
Missouri · 57285
Office
Unavailable
Facility
$589.29
No comparable office rate is available.
Mississippi
Mississippi · 57285
Office
Unavailable
Facility
$574.20
No comparable office rate is available.
Montana**
Montana · 57285
Office
Unavailable
Facility
$614.78
No comparable office rate is available.
North Carolina
North Carolina · 57285
Office
Unavailable
Facility
$580.36
No comparable office rate is available.
North Dakota**
North Dakota · 57285
Office
Unavailable
Facility
$577.21
No comparable office rate is available.
Nebraska
Nebraska · 57285
Office
Unavailable
Facility
$562.06
No comparable office rate is available.
New Hampshire
New Hampshire · 57285
Office
Unavailable
Facility
$614.10
No comparable office rate is available.
Northern Nj
New Jersey · 57285
Office
Unavailable
Facility
$670.81
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 57285
Office
Unavailable
Facility
$652.16
No comparable office rate is available.
New Mexico
New Mexico · 57285
Office
Unavailable
Facility
$613.25
No comparable office rate is available.
Nevada**
Nevada · 57285
Office
Unavailable
Facility
$604.49
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 57285
Office
Unavailable
Facility
$726.30
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 57285
Office
Unavailable
Facility
$661.74
No comparable office rate is available.
Queens
New York · 57285
Office
Unavailable
Facility
$698.75
No comparable office rate is available.
Rest Of New York
New York · 57285
Office
Unavailable
Facility
$587.38
No comparable office rate is available.
Ohio
Ohio · 57285
Office
Unavailable
Facility
$600.31
No comparable office rate is available.
Oklahoma
Oklahoma · 57285
Office
Unavailable
Facility
$582.17
No comparable office rate is available.
Portland
Oregon · 57285
Office
Unavailable
Facility
$623.99
No comparable office rate is available.
Rest Of Oregon
Oregon · 57285
Office
Unavailable
Facility
$595.37
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 57285
Office
Unavailable
Facility
$641.08
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 57285
Office
Unavailable
Facility
$597.18
No comparable office rate is available.
Puerto Rico
Puerto Rico · 57285
Office
Unavailable
Facility
$615.87
No comparable office rate is available.
Rhode Island
Rhode Island · 57285
Office
Unavailable
Facility
$620.97
No comparable office rate is available.
South Carolina
South Carolina · 57285
Office
Unavailable
Facility
$592.19
No comparable office rate is available.
South Dakota**
South Dakota · 57285
Office
Unavailable
Facility
$572.77
No comparable office rate is available.
Tennessee
Tennessee · 57285
Office
Unavailable
Facility
$569.72
No comparable office rate is available.
Austin
Texas · 57285
Office
Unavailable
Facility
$618.51
No comparable office rate is available.
Beaumont
Texas · 57285
Office
Unavailable
Facility
$594.77
No comparable office rate is available.
Brazoria
Texas · 57285
Office
Unavailable
Facility
$602.41
No comparable office rate is available.
Dallas
Texas · 57285
Office
Unavailable
Facility
$608.60
No comparable office rate is available.
Fort Worth
Texas · 57285
Office
Unavailable
Facility
$607.69
No comparable office rate is available.
Galveston
Texas · 57285
Office
Unavailable
Facility
$605.80
No comparable office rate is available.
Houston
Texas · 57285
Office
Unavailable
Facility
$640.58
No comparable office rate is available.
Rest Of Texas
Texas · 57285
Office
Unavailable
Facility
$599.90
No comparable office rate is available.
Utah
Utah · 57285
Office
Unavailable
Facility
$598.02
No comparable office rate is available.
Virginia
Virginia · 57285
Office
Unavailable
Facility
$593.30
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 57285
Office
Unavailable
Facility
$615.87
No comparable office rate is available.
Vermont
Vermont · 57285
Office
Unavailable
Facility
$581.82
No comparable office rate is available.
Rest Of Washington
Washington · 57285
Office
Unavailable
Facility
$613.86
No comparable office rate is available.
Seattle (King Cnty)
Washington · 57285
Office
Unavailable
Facility
$661.61
No comparable office rate is available.
Wisconsin
Wisconsin · 57285
Office
Unavailable
Facility
$563.70
No comparable office rate is available.
West Virginia
West Virginia · 57285
Office
Unavailable
Facility
$619.51
No comparable office rate is available.
Wyoming**
Wyoming · 57285
Office
Unavailable
Facility
$598.41
No comparable office rate is available.
See how rates vary across the country
57285 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Redding is a Medicare payment area. Our Census mapping connects it to 32 cities and communities in California, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 57285 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$669.42
$608.56 × 110% = $669.42
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 57285 in Redding.
PPRRVU2026_Oct_nonQPP.csv
6,466
- Code
- 57285
- Physician work
- 11.31
- Practice expense
- 5.20
- Malpractice
- 1.90
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.31 | × 1.017 | 11.5023 |
| Practice expense | 5.20 | × 1.096 | 5.6992 |
| Malpractice | 1.90 | × 0.536 | 1.0184 |
| Total RVUs | 18.2199 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$608.56
Open 57285 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.31 | 1.017 |
| Practice expense | 5.2 | 1.096 |
| Malpractice | 1.9 | 0.536 |
(11.31 × 1.017 + 5.2 × 1.096 + 1.9 × 0.536) × $33.4009 = $608.56
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
57285 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $608.56 | RVU26D |
| 2026-07-01 | Not available in this setting | $608.56 | RVU26C |
| 2026-04-01 | Not available in this setting | $608.56 | RVU26B |
| 2026-01-01 | Not available in this setting | $608.56 | RVU26A |
| 2025-10-01 | Not available in this setting | $676.65 | RVU25D |
| 2025-07-01 | Not available in this setting | $676.65 | RVU25C |
| 2025-04-01 | Not available in this setting | $676.65 | RVU25B |
| 2025-01-01 | Not available in this setting | $676.65 | RVU25A |
57285 billing questions
How does this differ from 57284?
Both address a paravaginal support defect, but 57285 uses a vaginal route. Code 57284 is the open abdominal approach.
Can 57240 also be reported for a cystocele?
A cystocele corrected as part of the paravaginal repair is included in this service. Do not separately report 57240 for the same repair work; document any distinct, separately performed anterior wall repair clearly.
Can mesh insertion be reported with this repair?
When qualifying mesh or another prosthesis is inserted for the pelvic floor defect, 57267 is the related add-on code. The operative note should support the insertion and site.
Should modifier 50 be used for bilateral repair?
No. The code's anatomy and descriptor make modifier 50 inappropriate.
How are assistant and co-surgeon services treated?
CMS permits payment for an assistant at surgery and for co-surgeons. Team surgery is not permitted for this code.
What postoperative care is included?
The 90-day global period includes the preoperative visit on the day before surgery and 90 days of related postoperative care.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,46357282,,Colpopexy extraperitoneal,A,,11.34,5.21,NA,5.21,,1.87,18.42,18.42,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46457283,,Colpopexy intraperitoneal,A,,11.37,5.21,NA,5.21,,1.95,18.53,18.53,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46557284,,Repair paravag defect open,A,,13.97,5.67,NA,5.67,,2.46,22.10,22.10,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46657285,,Repair paravag defect vag,A,,11.31,5.20,NA,5.20,,1.90,18.41,18.41,0,090,0.08,0.83,0.09,2,0,2,2,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46757287,,Revise/remove sling repair,A,,10.87,7.17,NA,7.17,,1.72,19.76,19.76,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46857288,,Repair bladder defect,A,,11.83,6.13,NA,6.13,,1.91,19.87,19.87,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,46957289,,Repair bladder & vagina,A,,12.48,6.28,NA,6.28,,2.19,20.95,20.95,0,090,0.12,0.74,0.14,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536