Hysterectomy Cost in North Carolina (2026): Average Prices & What You'll Pay
What does a hysterectomy cost in North Carolina?
Expect roughly $6,413 to $9,590 for a hysterectomy in North Carolina if you're commercially insured - that range already folds in both the facility charge and the physician fee. The median reported facility price across 35 hospitals is $4,861. It's built from CMS fee schedules and federally mandated hospital price transparency data.
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Where hysterectomy costs vary in North Carolina
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.
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A hysterectomy is four separate bills - and the one most people miss comes from the lab, weeks later.
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Cheapest Hysterectomy Providers in North Carolina
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Erlanger Health System | Murphy, NC | $2,789 | -$2,072 |
| 2 | Haywood Regional Medical Center | NC | $3,226 | -$1,635 |
| 3 | Wayne Memorial Hospital, Inc. | NC | $3,330 | -$1,531 |
| 4 | Maria Parham Health | NC | $4,011 | -$850 |
| 5 | Hugh Chatham Memorial Hospital | Elkin, NC | $4,618 | -$243 |
| 6 | Sentara Albemarle Regional Medical Center, LLC | Elizabeth City, NC | $4,781 | -$80 |
| 7 | Adventhealth Hendersonville | Hendersonville, NC | $4,781 | -$80 |
| 8 | Novant Health Medical Park Hospital | Winston-Salem, NC | $4,851 | -$10 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Erlanger Health System is the lowest-cost option at $2,789 - $2,072 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $4,861, and it's often lower than what insurance pays before your deductible is satisfied.
- Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.
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 $2,033–$22,394
- Professional fee $1,083–$7,432
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $2,033–$11,332
- Professional fee $1,083–$7,432
Estimated from CMS fee schedules + commercial rate multipliers
Atrium Health (formerly Carolinas HealthCare) and Wake Forest Baptist Health have merged into one of the largest nonprofit health systems in the Southeast. Duke Health and UNC Health anchor the Research Triangle academic tier, creating a market where major academic centers hold outsized pricing leverage. North Carolina has been an active target for FTC scrutiny of hospital consolidation. 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.
Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →
Why prices vary - and what it means for your coverage
A small number of hospitals (5) report prices above $6,640, including Granville Health System at $22,394, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Facility classification matters as much as the hospital itself - a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not.
None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$7,559 |
| Deductible met - 20% coinsurance | ~$1,512 |
| Out-of-network provider | $16,630+ |
Frequently asked questions: hysterectomy costs in North Carolina
How much does a hysterectomy cost in North Carolina?
The typical insurer-negotiated rate is $4,781, with most facilities between $2,815 and $4,861 (based on 34 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $909 to $85,072 across all 35 North Carolina hospitals that publish prices. 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 North Carolina?
Based on declared prices, the lowest-cost facility in our North Carolina data is WakeMed Cary Hospital in Cary at about $2,067. By metro, Winston-Salem has the lowest median ($4,851). 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 North Carolina hospitals?
Prices vary up to 93.6× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Carolina, the median cash (self-pay) price is $4,861 versus a median negotiated rate of $4,781 - about 1× 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 North Carolina?
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.
Before you book
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read your medical bill
- Deductible vs out-of-pocket max
- Already have a bill? Check it for errors
- How to read an EOB line by line
Other procedures in North Carolina
Hysterectomy, elsewhere
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same hysterectomy - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
What's on your bill
A hysterectomy involves multiple providers who bill separately - typically Facility Fee, Ob Gyn Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this hysterectomy changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for hysterectomy before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. 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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