CPT58661

Laparoscopic Removal of Ovarian Cyst Cost in Massachusetts

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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Massachusetts Medicare physician rate (2026)

+3.0% vs national

Average of 2 localities. Office range $585.36–$621.71.

Massachusetts (Hospital)
$603.54
Facility physician fee
Private plan est.
$785–$1,207
~130–200% of Medicare
Cash / self-pay est.
$483–$905
~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 Massachusetts

Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.

What laparoscopic removal of ovarian cyst costs at hospitals near you

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

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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 Massachusetts

National office$586.19
National hospital (physician)$586.19
Massachusetts vs national3% above the national office rate of $586.19

Where Massachusetts ranks for this CPT

Rank (lowest physician fee first)#43 of 51
Lowest stateNebraska ($530.75)
Highest stateAlaska ($748.56)

CPT 58661 by Massachusetts locality

LocalityOffice
metropolitan boston$621.71
rest of massachusetts$585.36

PE GPCI ranges from 1.053 to 1.194 in Massachusetts. That index is why the same CPT is not one price statewide.

Laparoscopic Removal of Ovarian Cyst and how Massachusetts is priced

Massachusetts is priced through two localities: metro Boston and the rest of the state. Boston's locality carries clearly higher geographic adjustments, reflecting some of the highest medical wages and office costs in the nation, while Worcester, Springfield, and the Cape share the lower rest-of-state factors. The split means the fee schedule itself acknowledges what everyone in the state already knows about Boston prices. Even so, rest-of-state Massachusetts still prices above most of the country.

Boston has arguably the densest concentration of academic medical centers anywhere, and its teaching hospitals pull referrals from all of New England and beyond. That prestige comes with a high-cost market structure that state policymakers have scrutinized for years. Western Massachusetts operates more like a regional market centered on Springfield, and Cape and islands residents contend with seasonal capacity strain.

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 Massachusetts: questions

The 2026 Medicare physician office rate for CPT 58661 averages $603.54 across 2 Massachusetts localities, from $585.36 in REST OF MASSACHUSETTS to $621.71 in METROPOLITAN BOSTON. The hospital physician rate averages $603.54. Enter a ZIP for the exact locality.

Yes. CMS splits Massachusetts into 2 payment localities. For this CPT the office physician fee spans $36.35 from the lowest to highest locality. Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $121 for the office physician line or $121 for the hospital physician line in Massachusetts. Medigap may cover that 20%. This is not the hospital facility fee.

No. $603.54 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. Massachusetts ranks #43 of 51 states on the physician line (3% above 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.