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CMS RVU26D · Effective 2026-10-01

58150 Hysterectomy Medicare reimbursement rates in Rhode Island

Reports open abdominal removal of the uterus and cervix, with the tubes and ovaries either retained or removed during the same operation. Compare 58150 office and facility rates across CMS payment localities in Rhode Island.

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.

What does Medicare pay for 58150 in Rhode Island?

Rhode Island has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.

Office / nonfacility

No supported rate

Facility setting

$940.06

1 of 1 localities have a supported rate.

Payment area: Rhode Island

One mapped payment locality.

These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.

Find 58150 in your payment locality →

Gynecologic surgery

About 58150: Total abdominal hysterectomy

Reports open abdominal removal of the uterus and cervix, with the tubes and ovaries either retained or removed during the same operation.

A gynecologic surgeon removes the uterine body and cervix through an abdominal incision. The fallopian tubes and ovaries may be left in place or removed during the operation; either choice is included in this service. It is used for conditions such as symptomatic fibroids or adenomyosis when abdominal removal is selected, and is typically performed in a hospital or other surgical facility.

Choose the code from the documented route and structures removed: the abdominal approach and removal of the cervix distinguish it from a subtotal hysterectomy or a vaginal or laparoscopic procedure. The operative report should identify the approach, the uterus and cervix removed, and any adnexal removal. Medicare assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When multiple procedures occur in the same session, the highest-valued is paid in full and others at 50%. Modifier 50 is inappropriate. An assistant may be paid; co-surgeons require supporting documentation, and team surgery is not permitted.

CMS billing rules for 58150

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 paid only with supporting documentation.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU16.88 · 60%
  • Practice expense (office) RVU7.65 · 27%
  • Malpractice RVU3.41 · 12%

3.4K

Medicare services in 2024 · #2098 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.

58150 compared with similar codes

Office rates for Rhode Island, from the same CMS release.

58180

Hysterectomy

Abdominal, cervix retained

No office rate

Select 58150 when the abdominal operation removes the cervix with the uterine body. Select 58180 when the cervix is retained.

58152

Hysterectomy

With bladder-neck suspension

No office rate

58152 includes the specified colpo-urethrocystopexy with the abdominal total hysterectomy; 58150 describes the hysterectomy without that additional procedure.

58260

Vaginal hysterectomy

Uterus 250 grams or less

No office rate

58260 is a vaginal total hysterectomy for a uterus of 250 g or less. This code is for the abdominal route.

58571

Laparoscopic hysterectomy

Uterus 250 g or less, adnexa removed

No office rate

58571 describes a laparoscopic total hysterectomy for a uterus of 250 g or less; use 58150 for the abdominal approach.

Compare 58150 by payment locality

Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.

1 of 1 payment localities

Office and facility base rates · shared scale starting at $0

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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 58150 in Rhode Island.

PPRRVU2026_Oct_nonQPP.csv

6,522

Code
58150
Physician work
16.88
Practice expense
7.65
Malpractice
3.41

GPCI2026.csv

92

Locality
Rhode Island
Physician work
1.019
Practice expense
1.033
Malpractice
0.892
Facility calculation for 58150 in Rhode Island
ComponentRVULocality factorAdjusted
Physician work16.88× 1.01917.2007
Practice expense7.65× 1.0337.9024
Malpractice3.41× 0.8923.0417
Total RVUs28.1449
Conversion factor× 33.4009

Facility rate, Rhode Island$940.06

Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work16.881.019
Practice expense7.651.033
Malpractice3.410.892

(16.88 × 1.019 + 7.65 × 1.033 + 3.41 × 0.892) × $33.4009 = $940.06

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.

58150 billing questions

How does this differ from 58180?

This service removes the cervix along with the uterine body. Code 58180 describes an abdominal subtotal hysterectomy in which the cervix is retained.

Are removal of the tubes or ovaries separately reported?

Removal of the fallopian tubes or ovaries during this hysterectomy is included, whether one or both are removed or retained.

Should modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for this code because the procedure concerns a single midline organ.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be paid?

An assistant at surgery may be paid. Co-surgeon payment requires supporting documentation; team surgery is not permitted.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures subject to the standard multiple procedure reduction are paid at 50%.

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.

RVUs for 58150PPRRVU2026_Oct_nonQPP.csv, line 6,522 (RVU26D)
Geographic factors for Rhode IslandGPCI2026.csv, line 92 (RVU26D)