Laparoscopic Removal of Ovarian Cyst Cost
Laparoscopy remove adnexa
$6,763Hospital outpatient total2026 Medicare, physician + facility- ✓Your ZIP's wage-adjusted hospital and surgery centre rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
National Medicare physician rate (2026)
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
Choosing a surgery centre over a hospital saves about $3,146 on the Medicare allowed amount for laparoscopic removal of ovarian cyst. Ask whether your procedure can be done at an ambulatory surgery centre.
Medicare pays the hospital a single comprehensive amount for this procedure, covering the facility's share of the encounter including implants and supplies. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Get the rate for your ZIP
CMS adjusts this CPT by locality. A five-digit ZIP is enough — no account, no insurance card.
What laparoscopic removal of ovarian cyst costs at hospitals near you
Everything above is a national average. The hospital you pick in your area moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again.
How CMS prices CPT 58661
Work is about 63% of the office total RVU; practice expense is about 25%. Localities with a high PE GPCI move this code more when practice expense is a large share.
Office vs hospital for this code
Office (non-facility) physician rate: $586.19. Hospital (facility) physician rate: $586.19.
Medicare patients typically owe 20% of the allowed amount after the Part B deductible — about $117 for the office physician fee, before any Medigap coverage. That coinsurance does not include a hospital facility fee.
Labeled private-plan and cash ranges on this page are arithmetic multiples of Medicare, not negotiated quotes. Ask the billing office for the CPT code, the site of service, and a good-faith estimate.
What Is Laparoscopic Removal of Ovarian Cyst?
This laparoscopic surgery removes an ovarian cyst along with the ovary or fallopian tube structures involved, through small abdominal incisions using a camera. It is performed when a cyst is large, persistent, painful, or has features that need definitive removal and testing. Under general anesthesia the operation typically takes one to two hours, and most patients go home the same day with about one to two weeks of recovery.
What Affects the Cost
- –Pathology examination of the removed cyst and ovarian tissue is a separate lab charge, and suspicious findings can trigger more extensive analysis.
- –Whether one or both sides are addressed, and whether the ovary is preserved or removed, affects coding and price.
- –A frozen-section analysis during surgery, where a pathologist gives an immediate read while you are still on the table, adds a distinct pathology charge.
- –Emergency surgery for a ruptured or twisted cyst wraps the procedure into a costlier urgent hospital admission.
- –Facility fees at hospital outpatient departments exceed those at ambulatory surgery centers where this surgery is offered.
- –Pre-operative imaging, usually ultrasound and sometimes MRI, plus tumor marker blood tests, form part of the full episode cost.
How It Is Billed
CPT 58661 covers laparoscopic removal of adnexal structures, meaning the ovary and/or fallopian tube, with a global period that includes routine post-operative care by the surgeon; simple cyst drainage or cystectomy preserving the ovary would be coded differently. Facility, anesthesia, and pathology bill separately, and an intraoperative frozen section appears as its own pathology line. If findings during surgery expand the operation, additional codes with higher payments can result.
Insurance & Coverage Notes
Surgery for a symptomatic or suspicious ovarian cyst is covered as medically necessary by essentially all plans, with prior authorization standard for the scheduled version and waived in emergencies like ovarian torsion. Your regular deductible and coinsurance apply. If there is any concern about malignancy, confirm that a gynecologic oncologist consultation or availability is in network, since a change of surgeon mid-course can create network complications on the claim.
Questions to Ask Before Booking
- 1.Will you try to preserve the ovary, and how does that change the procedure code and cost?
- 2.Is a frozen-section pathology read planned during surgery, and what does it cost?
- 3.What happens to my bill if you find something unexpected and the surgery becomes more extensive?
- 4.Are the anesthesia provider and pathology lab in my network?
- 5.Can this be done at a surgery center instead of the hospital, and what is the difference in facility fees?
Laparoscopic Removal of Ovarian Cyst (CPT 58661): questions
The 2026 national Medicare physician rate for CPT 58661 is $586.19 in an office and $586.19 in a hospital. Enter a ZIP code to apply the geographic adjustment for your locality.
For CPT 58661 the office and hospital physician rates are essentially the same ($586.19). The hospital will still usually add a separate facility fee that this page does not show.
This laparoscopic surgery removes an ovarian cyst along with the ovary or fallopian tube structures involved, through small abdominal incisions using a camera. It is performed when a cyst is large, persistent, painful, or has features that need definitive removal and testing. Under general anesthesia the operation typically takes one to two hours, and most patients go home the same day with about one to two weeks of recovery. CMS bills it as “Laparoscopy remove adnexa.”
Not on its own. $586.19 is the physician allowed amount. Medicare also pays the facility, which takes the total to about $6,763 in a hospital outpatient department or about $3,617 at an ambulatory surgery centre. Anesthesia, pathology and imaging interpretation billed under other codes are separate again. Private-plan allowed amounts are often higher than Medicare; your deductible and coinsurance still apply.
For cash-pay surgery shopping, use this CPT as the Medicare floor when you compare written quotes. How cash-price shopping works.