Laparoscopic Removal of Ovarian Cyst Cost in Missouri
Laparoscopy remove adnexa
Missouri Medicare physician rate (2026)
-2.2% vs nationalAverage of 3 localities. Office range $564.29–$579.35.
Your ZIP in Missouri
Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What this number is
The figures on this page are 2026 Medicare physician allowed amounts for a specific CPT code: the professional fee, adjusted by geographic practice-cost indices. They are not a hospital chargemaster price, not your insurer's contracted rate, and not a quote. Hospital facility fees, anesthesia, implants, imaging reads, and pathology are billed separately when they apply.
National vs Missouri
Where Missouri ranks for this CPT
CPT 58661 by Missouri locality
| Locality | Office |
|---|---|
| metropolitan st. louis | $579.35 |
| metropolitan kansas city | $575.69 |
| rest of missouri | $564.29 |
PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.
Laparoscopic Removal of Ovarian Cyst and how Missouri is priced
Missouri is a three-locality state: metropolitan St. Louis and metropolitan Kansas City are each priced separately, and everywhere else falls into a rest-of-state locality with lower geographic adjustments. Both metro localities approve higher amounts than outstate Missouri, and the Kansas City locality applies only to the Missouri side of that metro, since the Kansas side prices under Kansas's statewide locality. Springfield, Columbia, and the rural counties all share rest-of-state factors. The metro-versus-outstate gap is the main pricing story here.
St. Louis and Kansas City hold the state's academic medical centers and most of its specialty depth, drawing patients from far beyond Missouri's borders, including southern Illinois and eastern Kansas. Outstate Missouri is served by regional hubs in Springfield, Columbia, and Cape Girardeau, with the Ozarks and Bootheel among the harder places to reach specialty care. Rural hospital viability has been a persistent concern across the state.
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?
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Laparoscopic Removal of Ovarian Cyst in other states
Laparoscopic Removal of Ovarian Cyst in Missouri: questions
How much does laparoscopic removal of ovarian cyst cost in Missouri?
The 2026 Medicare physician office rate for CPT 58661 averages $573.11 across 3 Missouri localities, from $564.29 in REST OF MISSOURI to $579.35 in METROPOLITAN ST. LOUIS. The hospital physician rate averages $573.11. Enter a ZIP for the exact locality.
Does the rate change inside Missouri?
Yes. CMS splits Missouri into 3 payment localities. For this CPT the office physician fee spans $15.06 from the lowest to highest locality. Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What will a Medicare patient owe for the physician fee?
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $115 for the office physician line or $115 for the hospital physician line in Missouri. Medigap may cover that 20%. This is not the hospital facility fee.
Is this the full laparoscopic removal of ovarian cyst bill in Missouri?
No. $573.11 is the Medicare physician allowed amount for CPT 58661. Anesthesia, facility fees, implants, and other CPT codes billed the same day are extra. Missouri ranks #24 of 51 states on this physician line (2% below the national office rate of $586.19).