CPT58661

Laparoscopic Removal of Ovarian Cyst Cost in North Dakota

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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North Dakota Medicare physician rate (2026)

-7.2% vs national

Single statewide locality.

North Dakota (Hospital)
$543.93
Facility physician fee
Private plan est.
$707–$1,088
~130–200% of Medicare
Cash / self-pay est.
$435–$816
~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 North Dakota

Enter a ZIP code for your part of North Dakota, whether Fargo, Bismarck, Grand Forks, Minot, or the farm and oil country in between.

What laparoscopic removal of ovarian cyst costs at hospitals near you

Everything above is a national average. The hospital you pick in North Dakota 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 North Dakota

National office$586.19
National hospital (physician)$586.19
North Dakota vs national7% below the national office rate of $586.19

Where North Dakota ranks for this CPT

Rank (lowest physician fee first)#12 of 51
Lowest stateNebraska ($530.75)
Highest stateAlaska ($748.56)

Laparoscopic Removal of Ovarian Cyst and how North Dakota is priced

North Dakota's entire fee schedule flows through one statewide locality whose geographic indices sit near the national floor, lifted partly by the work index floor CMS applies to low-cost states. Fargo and a prairie town on the Canadian border publish identical Medicare-approved amounts. With no metro large enough to justify its own locality, the state is among the most straightforward in the country for Medicare pricing. Oil-patch growth in the west changed local economies but not the fee schedule structure.

Fargo and Bismarck are the state's two care anchors, each dominated by large regional systems that also reach into Minnesota, South Dakota, and Montana, with Grand Forks and Minot serving their own areas. Much of rural North Dakota depends on critical access hospitals, and winter travel adds a genuine planning constraint. Some eastern residents cross into Minnesota for care, particularly toward Fargo-Moorhead's twin market.

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 North Dakota: questions

North Dakota is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 58661 is $543.93 in an office and $543.93 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. North Dakota 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 $109 for the office physician line or $109 for the hospital physician line in North Dakota. Medigap may cover that 20%. This is not the hospital facility fee.

No. $543.93 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. North Dakota ranks #12 of 51 states on the physician line (7% below 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.