CPT58661

Laparoscopic Removal of Ovarian Cyst Cost in Hawaii

Laparoscopy remove adnexa

$6,763Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Hawaii Medicare physician rate (2026)

+1.5% vs national

Single statewide locality.

Hawaii (Hospital)
$595.19
Facility physician fee
Private plan est.
$774–$1,190
~130–200% of Medicare
Cash / self-pay est.
$476–$893
~80–150% of Medicare

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.

Surgery centre, total
$3,617
$586 physician + $3,031 facility
Physician fee alone
$586
Only 9% of the hospital total

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.

Your ZIP in Hawaii

Enter your ZIP code for Hawaii figures, whether you live on Oahu, in Hilo or Kona on the Big Island, or on Maui or Kauai where a Honolulu trip is often part of the plan.

What laparoscopic removal of ovarian cyst costs at hospitals near you

Everything above is a national average. The hospital you pick in Hawaii moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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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.

National vs Hawaii

National office$586.19
National hospital (physician)$586.19
Hawaii vs nationalwithin 2% of the national office rate of $586.19

Where Hawaii ranks for this CPT

Rank (lowest physician fee first)#39 of 51
Lowest stateNebraska ($530.75)
Highest stateAlaska ($748.56)

Laparoscopic Removal of Ovarian Cyst and how Hawaii is priced

Hawaii is priced through a single locality with geographic adjustments well above the mainland norm, driven largely by the practice expense side: rent, staff wages, and supplies all cost more across the islands. Unlike Alaska, Hawaii does not carry a special statutory floor, but its indices still place it among the higher-cost states in the fee schedule. Every island shares the same locality, so Honolulu and Hilo publish the same Medicare-approved amounts. The real variable for residents is which island the care is on, not the rate itself.

Oahu holds the bulk of Hawaii's hospital capacity and nearly all of its subspecialty care, so neighbor island residents routinely fly to Honolulu for procedures, adding airfare and hotel costs to the medical bill. A small number of systems dominate the market, and physician recruitment to the islands is a chronic challenge. For complex or rare conditions, some patients travel on to the mainland West Coast.

This procedure: 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 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.

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 in Hawaii: questions

Hawaii is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 58661 is $595.19 in an office and $595.19 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Hawaii uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $119 for the office physician line or $119 for the hospital physician line in Hawaii. Medigap may cover that 20%. This is not the hospital facility fee.

No. $595.19 is only the physician's share. Adding Medicare's facility payment brings the total to about $6,763 in a hospital outpatient department, or about $3,617 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Hawaii ranks #39 of 51 states on the physician line (within 2% of the national office rate of $586.19).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.