Laparoscopic Removal of Ovarian Cyst Cost in Pennsylvania
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
Pennsylvania Medicare physician rate (2026)
+0.9% vs nationalAverage of 2 localities. Office range $570.36–$612.53.
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.
Your ZIP in Pennsylvania
Look up your ZIP to see whether metro Philadelphia or rest-of-state pricing applies, from Philadelphia and its collar counties to Pittsburgh, Harrisburg, Allentown, Scranton, Erie, and the rural center.
What laparoscopic removal of ovarian cyst costs at hospitals near you
Everything above is a national average. The hospital you pick in Pennsylvania 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.
National vs Pennsylvania
Where Pennsylvania ranks for this CPT
CPT 58661 by Pennsylvania locality
| Locality | Office |
|---|---|
| metropolitan philadelphia | $612.53 |
| rest of pennsylvania | $570.36 |
PE GPCI ranges from 0.918 to 1.041 in Pennsylvania. That index is why the same CPT is not one price statewide.
Laparoscopic Removal of Ovarian Cyst and how Pennsylvania is priced
Pennsylvania's fee schedule separates metro Philadelphia from the rest of the state, giving the southeast its own higher-cost locality while Pittsburgh, Harrisburg, Allentown, Erie, and rural Pennsylvania share rest-of-state adjustments. That means the state's second-largest medical market, Pittsburgh, is priced with rural counties rather than with Philadelphia. The Philadelphia locality's premium reflects the metro's wage and rent levels, which lead the state by a wide margin. For patients, the key locality question in Pennsylvania is simply whether care happens in the Philadelphia area.
Philadelphia is one of America's historic centers of academic medicine, dense with teaching hospitals, while Pittsburgh is dominated by a pair of large integrated systems whose rivalry has defined that market for years. The rural middle of the state, sometimes called the T, has far fewer options, and hospital closures there have drawn statewide attention. Residents near the edges use New York, Baltimore, or Ohio providers when convenient.
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 Pennsylvania: questions
The 2026 Medicare physician office rate for CPT 58661 averages $591.44 across 2 Pennsylvania localities, from $570.36 in REST OF PENNSYLVANIA to $612.53 in METROPOLITAN PHILADELPHIA. The hospital physician rate averages $591.44. Enter a ZIP for the exact locality.
Yes. CMS splits Pennsylvania into 2 payment localities. For this CPT the office physician fee spans $42.17 from the lowest to highest locality. Look up your ZIP to see whether metro Philadelphia or rest-of-state pricing applies, from Philadelphia and its collar counties to Pittsburgh, Harrisburg, Allentown, Scranton, Erie, and the rural center.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $118 for the office physician line or $118 for the hospital physician line in Pennsylvania. Medigap may cover that 20%. This is not the hospital facility fee.
No. $591.44 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. Pennsylvania ranks #36 of 51 states on the physician line (within 2% of the national office rate of $586.19).