How Much Does Uterine Polyp Removal Surgery Cost? | Price Basics

Costs for uterine polyp removal range from about $2,800 to $7,000, with insurance benefits, facility type, and anesthesia driving the final bill.

Hysteroscopic polypectomy is the standard way to remove a growth inside the uterus. Price varies a lot because the bill combines the professional fee, the facility charge, anesthesia, and any pathology work. This guide breaks the bill down, shows typical ranges, and gives simple ways to lower what you pay.

Cost Of Removing A Uterine Polyp: Typical Range

Most patients see totals between the low three thousands and the high six thousands in the United States. Quotes on hospital and price-shopping sites show wide spreads, but the line items tend to follow the same pattern. The table below maps the common fees you will meet.

Line Item What It Includes Typical Range (USD)
Surgeon Fee Professional service for hysteroscopic removal of a uterine polyp $800–$2,000
Facility Fee Use of operating room or office procedure room $1,000–$3,500
Anesthesia Local with sedation or general anesthesia $300–$1,200
Pathology Microscopic review of the removed tissue $150–$400
Pre-op/Imaging Ultrasound, labs, or a diagnostic hysteroscopy charge $200–$700

Real-world tools back up these bands. Medicare’s public price pages list national averages for the codes used in this procedure, and cash price dashboards show mid four-figure totals for endoscopic removal of a uterine growth. Several hospital and marketplace dashboards publish posted self-pay rates for this service. Ranges shift by city. Those sources place most bills in the same neighborhood cited above.

What Drives The Price Up Or Down

Where The Procedure Happens

Hospital outpatient departments bill more than ambulatory surgery centers or in-office suites. Moving a straightforward case to an office hysteroscopy setup can cut the facility line and save hundreds to thousands. Many gynecology groups now offer office treatment for suitable cases.

Type Of Anesthesia

General anesthesia adds an anesthesia provider and longer recovery time. Sedation or a paracervical block in the office trims both time and cost. Comfort and safety come first, but ask about options that fit your health profile.

Case Complexity And Add-Ons

Bigger or multiple growths take longer and may need extra tools. Lysis of adhesions, removal of a lodged device, or a same-session dilation and curettage add time and supplies. Extra steps mean a higher facility charge and sometimes a different billing code set.

Region And Network Status

Local market rates and insurance contracts matter. A surgeon and facility in network will drop the allowed amount, while out-of-network bills can soar. Self-pay bundles also vary by state and city.

Typical CPT Codes Linked To This Procedure

Quotes and insurance estimates often list codes. Seeing these in advance helps you compare apples to apples:

  • 58558: Operative hysteroscopy with sampling or removal of an endometrial growth, with or without dilation and curettage.
  • 58559: Operative hysteroscopy with lysis of intrauterine adhesions.
  • 58561: Operative hysteroscopy with removal of fibroids.

The first code above applies to most straightforward removals of an endometrial growth. Medicare’s price lookup tool lets you check national averages for these codes by facility type. You can read a clear plain-language overview of hysteroscopy on the ACOG patient page as well.

Ballpark Numbers From Public Tools

Price-transparency sites that compile cash rates report mid four-figure totals for removal of a uterine polyp by endoscope. One nationwide database lists an average cash price a little above six thousand dollars. A large prepaid marketplace shows bundled offers starting in the low four thousands and running into the seven thousands, depending on location. These snapshots match many patient estimates shared by clinics.

Ways To Lower Your Bill Without Cutting Care

Ask About An Office Setup

Many cases can be handled in an office suite with oral meds and local anesthesia. That removes the hospital or ASC fee. It also shortens check-in and recovery time, which helps people who need to get back to work fast.

Request A Written Good-Faith Estimate

Ask the scheduler for a full breakdown: surgeon, facility, anesthesia, and pathology. With insurance, request the in-network allowed amount. Self-pay shoppers can request a packaged cash price. A written quote makes it easier to compare options.

Use In-Network Teams

Confirm that the surgeon, the facility, and the anesthesia group all take your plan. Surprise bills often come from an out-of-network anesthesia team. One phone call can prevent that.

Check For Pre-Op Requirements

Some plans require prior authorization or a trial of office management first. Missing a required step can delay care and create denials. Clinics can help send records, but it pays to ask early.

Insurance, Deductibles, And Real Out-Of-Pocket

Plan For Indirect Costs

Factor small extras: time off, childcare, a ride home, pads, and over-the-counter pain meds and parking fees.

With employer or individual coverage, what you pay depends on your remaining deductible and coinsurance. People early in the year, or on high-deductible plans, often shoulder most of the bill until the deductible is met. After that, coinsurance applies until the out-of-pocket maximum. Copays may apply when the case is billed as an office procedure.

Common Scenarios

  • Self-pay bundle: Flat price includes facility, surgeon, anesthesia, and basic pathology. Add-ons outside the bundle cost extra.
  • High-deductible plan: You pay the allowed amount until the deductible is met; then a share until the max.
  • PPO with low deductible: After a modest deductible, your coinsurance share applies to the allowed amount.

What The Procedure Involves

A thin telescope passes through the cervix into the uterus. Saline distends the cavity so the surgeon can see. Tiny tools remove the growth at its base. Tissue goes to a lab to confirm the type. Most people go home the same day with light cramps and spotting for a short time. Clear instructions explain activity, pain meds, and warning signs that merit a call.

When This Treatment Makes Sense

Uterine growths can cause heavy bleeding, spotting, or fertility problems. If imaging or office views show a stalk or broad-based lesion, removal often solves the bleeding and allows a pathology read. People planning conception also choose removal to improve the shape of the cavity.

Sample Cost Check Worksheet

Use this checklist when you call clinics or price tools. Fill in the blanks and compare.

Item Your Quote Notes
Surgeon Fee (CPT 58558) _____ Ask if pathology is separate
Facility Fee (ASC/Hospital/Office) _____ Confirm site of service
Anesthesia _____ Ask if anesthesia group is in network
Pathology _____ Lab name and network status
Estimated Patient Share _____ Based on your deductible and coinsurance

How To Read Price Sources

Not all “cost” pages mean the same thing. Medicare lists allowed amounts, which are often lower than hospital chargemaster rates. Cash price dashboards pull posted self-pay prices. Marketplaces sell prepaid bundles at contracted partner sites. Each is useful; just match like with like when you compare. When in doubt, ask the clinic which code set they plan to bill and which site of service they expect before you compare and timing.

Trusted Reference Pages

You can review the ACOG hysteroscopy FAQ for a clear overview of the technique, use cases, and recovery.

Sample Price Math For Common Situations

Numbers help. Here are three quick sketches using typical ranges. Your plan’s allowed amounts and local rates will change the totals, but these examples show how each line affects the bill.

Self-Pay Bundle At An Ambulatory Surgery Center

A center in a mid-sized city posts a package at $4,600. That includes the surgeon, the room, anesthesia, saline, scope, and basic pathology. If the case needs extra time or special tools, the center adds a supply fee after calling the patient. Many bundles allow interest-free payment plans spread over six to twelve months.

High-Deductible Plan, Hospital Outpatient

The allowed amount totals $6,800: surgeon $1,600, facility $4,600, anesthesia $500, pathology $100. The patient has $2,500 left on a $3,000 deductible, then 20% coinsurance. Out-of-pocket equals $2,500 plus 20% of the balance ($860), for $3,360.

PPO With Low Deductible, Office Treatment

The office allowed amount totals $3,200: surgeon $1,300, facility/room fee $1,500, anesthesia $200, pathology $200. A $500 deductible applies first, then 10% coinsurance on the rest. Patient share lands at $500 plus $270, so $770.

Recovery, Time Away From Work, And Small Extras

Many feel ready for desk work the next day. Mild cramping and light spotting are common. Hold off on heavy lifting and hard workouts until cleared. Plan a ride home, pads, and simple pain meds. People with manual jobs may want a short note for modified duty. Office treatment often takes two to three hours on site, which limits missed work.

When To Call Your Care Team

Reach out for fever, chills, foul discharge, heavy bleeding that soaks pads, or pain that does not ease with the plan you were given. A quick call gets the right next step. Most patients bounce back quickly with simple home care within days.

Bottom Line On Budgeting For This Procedure

Plan for a total somewhere between three and seven thousand dollars in most U.S. markets. Office treatment with local meds often sits at the low end. Hospital care with general anesthesia pushes higher. A written estimate and in-network choices bring the most predictability, and many clinics offer payment plans on request.