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Closure Of A Bladder-To-Vagina Opening, Vaginal Approach

West Virginia rates for HCPCS 57320

This surgery closes an abnormal opening, called a fistula, that has formed between the bladder and the vagina, which can cause continuous, uncontrollable leakage of urine into the vagina. The surgeon works through the vagina to locate the opening and stitch the tissue layers closed, separating the two organs again. It is typically performed after an injury from childbirth, prior surgery, or radiation treatment.

Rates data updated October 2026.

How much does Closure Of A Bladder-To-Vagina Opening, Vaginal Approach cost?

$2,430

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $2,430 for this procedure. That total is two separate charges: $692 to the doctor who performs it, and $1,738 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$692$525 to $1,349
Facility feeThe hospital or surgery center$1,738$1,413 to $3,388

How much rates vary

Facilitymedian $1,738 · 10th to 90th $603 to $8,318Professionalmedian $692 · 10th to 90th $447 to $1,549
$50$200$1K$5Kfacility $1,738professional $692

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,737.80
Aetna
Setting
Professional
Modifier
None
Typical Low
$524.81
Median
$524.81
Typical High
$549.54
CareSource
Setting
Professional
Modifier
None
Typical Low
$645.65
Median
$645.65
Typical High
$645.65
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$602.56
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$724.44
Typical High
$3,235.94
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$8,317.64
Median
$8,317.64
Typical High
$8,317.64
United
Setting
Facility
Modifier
None
Typical Low
$1,479.11
Median
$2,089.30
Typical High
$14,125.38
United
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$602.56
Typical High
$1,348.96

Where West Virginia sits

The same service costs 5.6 times more in Alabama than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Physician feeFacility fee

West Virginia· 47th of 51

$2,430

$692 physician + $1,738 facility

AL $8,949KY $1,586

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.