Hysterectomy Cost in Montana (2026): Average Prices & What You'll Pay
What does a hysterectomy cost in Montana?
For a commercially insured patient, a hysterectomy in Montana typically runs $3,624–$9,272 once facility and physician fees are combined. The median reported facility price across 18 hospitals is $2,213. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.
CommonSpirit Health (formerly SCL Health) and RiverStone Health cover most of Montana's population. The state's vast geography means most residents have little or no practical alternative to their nearest facility, effectively eliminating competitive pricing pressure outside Billings and Missoula. Critical access hospitals are widespread and use cost-based reimbursement for Medicare.
Hysterectomy costs vary primarily by surgical approach (open, laparoscopic, or robotic) and inpatient vs. outpatient classification. Robotic-assisted procedures carry higher facility fees and may not offer better outcomes for routine cases. Most commercial plans cover medically necessary hysterectomy after the deductible; elective or fertility-related procedures may face different coverage rules. Anesthesia and pathology are billed separately from the facility and surgeon.
Montana prices for a hysterectomy span 79.4× across 18 reporting hospitals, from $535 (HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL) up to $42,504 (Great Falls Clinic Hospital in Great Falls) for identical care. Half of Montana facilities price it at or below $2,213, with most clustered between $2,006 and $4,956. There's a gap between the sticker and the real price here: a median cash quote of $4,124 sits above the $1,587 insurers negotiate — about 2.6× higher, so asking for the cash or insurer-negotiated rate is often the single biggest lever on your bill. Even within Montana, Libby ($1,296) and Polson ($8,337) are 6.4× apart on the median price.
Forecast your out-of-pocket cost
- Lower-cost hospitals (bottom 25%): under $2,006
- Median hospital: $2,213
- Higher-cost hospitals (top 30%): $4,956+
That's a 2× spread for the same procedure — driven entirely by which facility you choose, not by clinical complexity.
- Patient A (higher-rate plan or out-of-network): ~$4,956
- Patient B (lower-rate in-network plan): ~$2,006
Where hysterectomy costs vary in Montana
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
See every Montana hospital's price
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Cheapest Hysterectomy Providers in Montana
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Providence St Joseph Medical Center | Polson, MT | $1,550 | -$663 |
| 2 | Cabinet Peaks Medical Center | Libby, MT | $1,587 | -$626 |
| 3 | Sidney Health Center | Sidney, MT | $2,005 | -$208 |
| 4 | McCone County Health Center | MT | $2,006 | -$207 |
| 5 | Big Sky Medical Center | Big Sky, MT | $2,006 | -$207 |
| 6 | Deaconess Regional Medical Center | Bozeman, MT | $2,006 | -$207 |
| 7 | Fallon Medical Complex | Baker, MT | $2,045 | -$168 |
| 8 | Bitterroot Health - Daly Hospital | Hamilton, MT | $2,072 | -$141 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
The facility you choose matters more than almost anything else — the same procedure, same quality, same state can cost 5× more at one hospital versus the one down the road.
→ Compare all procedure costs → Hysterectomy costs nationwide
Check YOUR hospital's pricing → Estimate YOUR exact cost →
What you'll actually pay — example scenarios
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met (pay in full) | ~$4,911 |
| Deductible met — 20% coinsurance | ~$982 |
| Out-of-network provider | $10,804+ |
Based on a typical episode cost of $4,911 (facility + physician fees). Your actual cost depends on your plan deductible, coinsurance rate, and network tier. Get YOUR personalized estimate →
What this means for you
If you haven't met your deductible, you are effectively a cash-pay patient.
That means:
- You should verify your hospital is in-network before an elective visit when possible
- The cheapest facility can save you $1,462+ vs. the median.
This is the single biggest lever most patients have to reduce their cost.
Lower-cost options in Montana start around $2,006 or below. Most hospitals cluster between $2,006 and $5,098. A smaller group reports prices above that — often academic medical centers or high-cost markets.
If you're comparing specific hospitals, the lowest self-pay rates reported in this dataset include: Big Sky Medical Center in Big Sky (cash price from $2,006); Deaconess Regional Medical Center in Bozeman (cash price from $2,006); Fallon Medical Complex in Baker (cash price from $2,045). These are declared cash prices — contact each facility for a formal quote before scheduling.
How where you go changes what you pay for hysterectomy
The same hysterectomy bundles different services depending on the setting — facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $751–$25,528
- Professional fee $1,083–$7,432
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $1,296–$17,856
- Professional fee $1,083–$7,432
Estimated from CMS fee schedules + commercial rate multipliers
- Best value hospitals (lowest prices): Clark Fork Valley Hospital: $751; Cabinet Peaks Medical Center: $1,296; Providence St Joseph Medical Center: $15,124
- Most expensive (outpatient): Great Falls Clinic Hospital: ~$25,528; Providence St Joseph Medical Center: ~$15,124
→ Choosing the right facility can save $1,462+ vs. the state median.
Montana Hysterectomy prices by facility
All prices below come from hospital chargemasters — the official price lists each hospital must publish under federal law. Gross charge is the undiscounted list price; cash price is the self-pay rate; negotiated range covers the spread across insurance contracts.
- Cash price — the self-pay rate you can actually negotiate and pay
- Negotiated rate — if reported by the hospital across insurance contracts
- Gross charge — fallback only; this is the inflated list price few people pay
This reflects the real prices patients encounter — not inflated chargemaster rates.
| # | Facility | City | Your Price | vs Median | Gross Charge |
|---|---|---|---|---|---|
| #1 | Clark Fork Valley Hospital | Plains, MT | $751 | -$1,462 | $751–$1,930 |
| #2 | Cabinet Peaks Medical Center | Libby, MT | $1,296 | -$917 | $1,729–$2,069 |
| #3 | Providence St Joseph Medical Center | Polson, MT | $15,124 | +$12,911 | $1,550–$29,652 |
| #4 | Sidney Health Center | Sidney, MT | $2,126 | -$87 | $2,974–$9,173 |
| #5 | McCone County Health Center | MT | $2,006 | -$207 | $1,143–$3,290 |
| #6 | Big Sky Medical Center | Big Sky, MT | $2,006 | -$207 | $2,434–$7,142 |
| #7 | Deaconess Regional Medical Center | Bozeman, MT | $2,006 | -$207 | $2,434–$7,142 |
| #8 | Fallon Medical Complex | Baker, MT | $2,045 | -$168 | $576–$3,299 |
| #9 | Bitterroot Health - Daly Hospital | Hamilton, MT | $2,072 | -$141 | $675–$5,479 |
| #10 | HOLY ROSARY HEALTHCARE DBA INTERMOUNTAIN HEALTH HOLY ROSARY HOSPITAL | MT | $2,213 | +$0 | $535–$2,213 |
| #11 | Glendive Medical Center | MT | $4,889 | +$2,676 | $4,889–$20,037 |
| #12 | SCL HEALTH - MONTANA, DBA INTERMOUNTAIN HEALTH ST. VINCENT HEALTHCARE | MT | $4,936 | +$2,723 | $4,936–$13,512 |
| #13 | St. James Healthcare INTERMOUNTAIN HEALTH ST JAMES HOSPITAL | Butte, MT | $5,035 | +$2,822 | $5,035–$13,783 |
| #14 | Providence Health & Services - Montana | Missoula, MT | $5,161 | +$2,948 | $5,161–$10,968 |
| #15 | COMMUNITY MEDICAL CENTER | MT | $6,401 | +$4,188 | $10,669–$17,683 |
| #16 | Billings Clinic | Billings, MT | $8,493 | +$6,280 | $8,493–$12,680 |
| #17 | Logan Health Medical Center | Kalispell, MT | $10,860 | +$8,647 | $10,860 |
| #18 | Great Falls Clinic Hospital | Great Falls, MT | $25,528 | +$23,315 | $25,528–$42,504 |
Unlock all 13 remaining Montana hospitals
Enter your email to reveal the full table instantly — and we'll email you the complete price list as a PDF to keep.
We'll email you the full Montana price list as a PDF. Sourced from CMS files. No spam.
Source: CMS hospital price transparency machine-readable files. vs Median = savings or premium relative to the state median price. Gross Charge = undiscounted list price for reference.
Received a bill? Check it for errors → Estimate YOUR cost before you go →
Compare other procedures in Montana:
Where you can save the most on hysterectomy in Montana
These facilities have the lowest declared prices relative to the state median — they represent the best opportunities to reduce your out-of-pocket cost for this procedure.
| Facility | City | Your Price | vs Median |
|---|---|---|---|
| Clark Fork Valley Hospital | Plains, MT | $751 | -$1,462 |
| Cabinet Peaks Medical Center | Libby, MT | $1,296 | -$917 |
| Providence St Joseph Medical Center | Polson, MT | $15,124 | +$12,911 |
| Sidney Health Center | Sidney, MT | $2,126 | -$87 |
| McCone County Health Center | MT | $2,006 | -$207 |
How to choose a lower-cost facility
- Choose independent outpatient centers when possible — freestanding ASCs (ambulatory surgical centers) consistently charge less than hospital outpatient departments for identical procedures.
- Ask for the cash price if your deductible isn't met — self-pay rates are often lower than what insurance pays before your deductible is satisfied, especially at facilities that have a high cash-price discount.
- Avoid hospital outpatient departments for routine cases — hospital-owned locations add a facility fee that freestanding centers don't charge, often adding $500–$1,500 to the same procedure.
Most expensive hysterectomy providers in Montana
These facilities report the highest prices for this procedure. Academic medical centers and specialty hospitals often top this list — their gross charges rarely reflect what anyone actually pays, but understanding the spread helps you negotiate.
| Facility | City | Price | vs Median |
|---|---|---|---|
| Great Falls Clinic Hospital | Great Falls, MT | $25,528 | +$23,315 |
| Providence St Joseph Medical Center | Polson, MT | $15,124 | +$12,911 |
| Logan Health Medical Center | Kalispell, MT | $10,860 | +$8,647 |
| Billings Clinic | Billings, MT | $8,493 | +$6,280 |
| COMMUNITY MEDICAL CENTER | MT | $6,401 | +$4,188 |
Why prices vary this much
A small number of hospitals (4) report very high prices above $9,736, which drives much of the overall price range. Excluding these, most facilities cluster in a significantly tighter band.
Setting drives much of the gap in Montana: the median outpatient price is $2,326 versus $2,282 inpatient, so where a procedure is performed often matters more than which hospital you choose. Of the Montana facilities reporting prices, 9 fall in a low-cost tier (up to $2,006) while 7 sit in a high-cost tier ($5,098 and up) — a lower-priced option almost always exists within the same state.
The spread comes from how each hospital sets its chargemaster (the undiscounted list price), what cash discounts it applies, and what rates it negotiates with each insurer. Facility classification matters too — a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Understanding these mechanics is the first step to paying less.
Learn more:
→ Allowed amount vs negotiated rate — what your EOB is really saying
→ How to read your medical bill
→ Why hospital prices are so hard to find — and what to do about it
How insurance changes what you actually pay
Hospital list prices are only part of the picture. What you pay out of pocket depends on your deductible, your plan's out-of-pocket maximum, whether the facility is in-network, and whether your plan classifies the visit as outpatient or inpatient. A lower gross charge doesn't guarantee a lower bill if the facility is out-of-network or adds facility fees your plan doesn't cover.
Understand your cost before you go:
→ Deductible vs out-of-pocket max
→ EOB vs medical bill — complete guide
→ How to stop medical bill problems before they start (in-network vs out-of-network)
Hysterectomy Costs by Metro Area in Montana
Prices vary across Montana metro areas based on local hospital competition, wage adjustments, and facility mix. Explore detailed facility price data for each metro area:
Compare hysterectomy costs in nearby states
Frequently asked questions: hysterectomy costs in Montana
How much does a hysterectomy cost in Montana?
Across 18 Montana hospitals that publish prices, a hysterectomy ranges from $535 to $42,504, with a median of $2,213. Most facilities fall between $2,006 and $4,956. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a hysterectomy in Montana?
Based on declared prices, the lowest-cost facility in our Montana data is Clark Fork Valley Hospital in Plains at about $751. By metro, Libby has the lowest median ($1,296). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data — ask your doctor whether one is an option.
Why is a hysterectomy so much cheaper at some Montana hospitals?
Prices vary up to 79.4× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Montana, the median cash (self-pay) price is $4,124 versus a median negotiated rate of $1,587 — about 2.6× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a hysterectomy in Montana?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network — not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Explore all hysterectomy cost data
→ See hysterectomy costs across all states
Other Montana Hospitals and ambulatory surgery centers for Hysterectomy
These hospitals and ambulatory surgery centers are registered in the CMS National Provider Identifier (NPI) registry as active hospitals and ambulatory surgery centers in Montana. Cost estimates use the bundled service model for each place of service. Contact them directly for a formal quote.
| Provider | City | Type | Est. Cost | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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ADVANCED CARE HOSPITAL OF MONTANA INC
4063738000 |
BILLINGS, MT | Long Term Care Hospital | $1,834–$32,960 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL & HEALTHCARE
4066833041 |
DILLON, MT | Critical Access Hospital | $1,834–$32,960 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL DEVELOPMENT CORPORATION
4066833000 |
DILLON, MT | Critical Access Hospital | $1,834–$32,960 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL DEVELOPMENT CORPORATION
4066833000 |
DILLON, MT | Critical Access Hospital | $1,834–$32,960 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BARRETT HOSPITAL DEVELOPMENT CORPORATION
4066833000 |
DILLON, MT | Critical Access Hospital | $1,834–$32,960 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BENEFIS HEALTHCARE SYSTEM
4064552661 |
GREAT FALLS, MT | Long Term Care Hospital | $1,834–$32,960 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BENEFIS HOSPITALS INC
4064555000 |
HELENA, MT | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BIG HORN HOSPITAL ASSOCIATION
4066652310 |
HARDIN, MT | Critical Access Hospital | $1,834–$32,960 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BIG SANDY MEDICAL CENTER INC
4063782188 |
BIG SANDY, MT | Critical Access Hospital | $1,834–$32,960 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BIG SKY ANESTHETICS PC
4064499100 |
HELENA, MT | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BIG SKY SURGERY CENTER, LLC
4065426559 |
MISSOULA, MT | Ambulatory Surgical Center | — | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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BILLINGS CINIC
4068981200 |
BOZEMAN, MT | General Acute Care Hospital | $1,834–$32,960 bundled est. | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Est. cost = bundled estimate (facility fee + professional fee + anesthesia where applicable) based on CMS fee schedules and commercial rate multipliers. Contact each provider for an actual quote.
Source: CMS NPPES NPI Registry. NPI numbers can be verified at npiregistry.cms.hhs.gov.
Where You Get a Hysterectomy Matters
Hospital outpatient departments typically charge 2–4× more than ASCs or independent centers for the same procedure — same outcome, very different bill.
Hospital Outpatient Department
Hospital Outpatient Department typically carries a higher price for a hysterectomy. Facility fee billed separately from professional fee. Provider-based billing adds facility overhead. You can shop here — call ahead and ask for a self-pay or cash quote.
Hospital Inpatient
Hospital Inpatient typically carries the highest price for a hysterectomy. DRG-based billing bundles most services. Professional fees billed separately. Length of stay drives cost.
What's Actually on Your Hysterectomy Bill
A hysterectomy involves multiple providers — each bills separately. Understanding each line item helps you verify your Explanation of Benefits and catch billing errors.
Hospital Outpatient
- Facility Fee — For laparoscopic and vaginal approaches.
- Ob Gyn Surgeon Professional Fee
- Anesthesia
Hospital Inpatient
- Drg Facility Stay — DRGs 742/743 for non-malignancy.
- Ob Gyn Surgeon Professional Fee
- Anesthesia
Hysterectomy Cost by Type
Which type your doctor orders changes the billing code — and what you pay. Here's how the common types differ.
Laparoscopic Total Hysterectomy
A recognized variation that can change the billing code and what you owe. Most common modern approach. Same-day or 1-night stay.
Vaginal Hysterectomy
A recognized variation that can change the billing code and what you owe.
Open (Abdominal) Hysterectomy
A recognized variation that can change the billing code and what you owe. Inpatient-only (OPPS SI=C). 2–3 day hospital stay. Higher cost.
This Procedure Is Shoppable — Choosing the Right Facility Can Save Thousands
Hysterectomy is elective and schedulable. You have time to compare facilities — and hospital outpatient prices often run 2–4× higher than Hospital OP for identical clinical outcomes.
How to shop: Ask your doctor for the CPT code, then call 2–3 facilities and request an out-of-pocket cost estimate. Confirm your insurance is accepted. If uninsured, ask for the cash-pay rate — it's usually 20–50% below the list price.
Prior Authorization Is Usually Required
Most commercial and Medicare Advantage plans require pre-approval for hysterectomy before scheduling. If your doctor submits the order without prior authorization — or if the authorization lapses — your insurer can deny the entire claim, leaving you responsible for the full cost.
Action step: Call the member services number on your insurance card before scheduling. Ask: "Does this procedure require prior authorization?" Get the authorization number in writing and confirm it's attached to the claim before your appointment.
Who performs this: Hysterectomy is typically performed by a Obstetrics & Gynecology. The specialist's professional fee is billed separately from the facility charge — you will likely receive separate bills from each.
CostKits compiles hospital price transparency data to help families make informed decisions. If you've received a bill for this procedure:
→ Analyze your medical bill for errors
→ How to negotiate your medical bills
→ Track and manage your healthcare costs (free account)
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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