CPT58661

Laparoscopic Removal of Ovarian Cyst Cost in South Carolina

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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South Carolina Medicare physician rate (2026)

-3.7% vs national

Single statewide locality.

South Carolina (Hospital)
$564.47
Facility physician fee
Private plan est.
$734–$1,129
~130–200% of Medicare
Cash / self-pay est.
$452–$847
~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 South Carolina

Check your ZIP code for your region of South Carolina, whether Charleston and the Lowcountry, Columbia and the Midlands, Greenville-Spartanburg in the Upstate, or Myrtle Beach and the Grand Strand.

What laparoscopic removal of ovarian cyst costs at hospitals near you

Everything above is a national average. The hospital you pick in South Carolina 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 South Carolina

National office$586.19
National hospital (physician)$586.19
South Carolina vs national4% below the national office rate of $586.19

Where South Carolina ranks for this CPT

Rank (lowest physician fee first)#20 of 51
Lowest stateNebraska ($530.75)
Highest stateAlaska ($748.56)

Laparoscopic Removal of Ovarian Cyst and how South Carolina is priced

South Carolina prices through one statewide locality with indices a bit below the national average, so Charleston, Columbia, Greenville, and the rural Pee Dee share the same Medicare-approved amounts. Rapid coastal growth has not led CMS to break out a separate locality, keeping the fee schedule uniform from the mountains to the sea islands. The single set of adjustments makes the statewide figures here directly usable anywhere in the state. Facility fees at hospital-owned locations remain the largest source of price variation for patients.

The state's medical firepower splits three ways: an academic medical center and strong hospital market in Charleston, the capital-region systems in Columbia, and a large Upstate network centered on Greenville. Retiree-heavy coastal areas like Hilton Head and Myrtle Beach have booming demand for Medicare-age care, while the rural I-95 corridor faces some of the state's worst access gaps. Some border residents use Charlotte or Augusta providers.

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 South Carolina: questions

South Carolina is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 58661 is $564.47 in an office and $564.47 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. South Carolina 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 $113 for the office physician line or $113 for the hospital physician line in South Carolina. Medigap may cover that 20%. This is not the hospital facility fee.

No. $564.47 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. South Carolina ranks #20 of 51 states on the physician line (4% 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.