How Much Does Fibroid Removal Cost in 2026?
Without insurance, fibroid removal typically costs $6,000 to $30,000, depending on the method and where it is done. With insurance, most people pay about $2,000 to $7,500 out of pocket.
- The method drives the price: hysteroscopic removal of a submucosal fibroid is usually cheapest, then minimally invasive (laparoscopic or robotic) myomectomy and non-surgical embolization, and an open abdominal myomectomy is the most expensive because it needs an inpatient stay.
- A non-surgical uterine fibroid embolization (UFE) at an outpatient center can be a no-incision, lower-cost alternative to surgery. Ask your doctor whether you are a candidate.
- Billed/chargemaster charges (often $20,000-$45,000+) are far above what insurers, Medicare, or negotiated cash payers actually pay, so never treat the list price as final.
Fibroid Removal Cost by Method
Cash / self-pay price ranges. The method, and whether you stay overnight, are the biggest factors.
| Method | Cash price |
|---|---|
| Hysteroscopic myomectomy (outpatient) | $5,000 to $12,000 |
| Laparoscopic / robotic myomectomy (outpatient) | $10,000 to $25,000 |
| Uterine fibroid embolization (UFE, outpatient) | $10,000 to $25,000 |
| Open abdominal myomectomy (inpatient) | $15,000 to $30,000+ |
Lowest price: A hysteroscopic myomectomy for a submucosal fibroid, or a bundled cash-price UFE or laparoscopic myomectomy at an outpatient center. A hysterectomy removes the whole uterus and is a separate decision, not a fibroid-only removal.
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What Makes Up the Bill
Total billed before insurance is typically $20,000 to $45,000. It is usually split across:
The single biggest lever is the facility fee, which is why an outpatient surgery center or outpatient IR suite is far cheaper than an inpatient hospital stay. For UFE, the embolic materials and imaging replace much of the OR cost. For an open abdominal myomectomy, each additional hospital night adds roughly $2,000 to $4,000. Removed fibroid tissue is almost always sent to pathology, which is billed separately.
With vs. Without Insurance
Without insurance (self-pay)
$6,000 to $30,000
Ask for the cash or prompt-pay price up front, and ask specifically about a hysteroscopic, laparoscopic, or UFE approach if you are a candidate. It is often far below the billed amount.
With insurance (out of pocket)
$2,000 to $7,500
With commercial insurance, an in-network, medically necessary fibroid removal leaves you owing your deductible plus coinsurance up to your annual out-of-pocket maximum, commonly $2,000-$7,500 total. Confirm the surgeon (or interventional radiologist), facility, AND anesthesiologist are all in-network to avoid balance/surprise bills, and get prior authorization. Medicare beneficiaries owe about 20% coinsurance after the Part B deductible for outpatient cases unless a Medigap plan covers it.
Prices vary widely by region and by provider. Within a single metro, hospital-reported cash prices for the same fibroid procedure code can differ by several times over, so shopping 3-4 local facilities and asking each for an all-in price matters more than your region alone.
How to Pay Less
Ask whether a less invasive method fits your fibroids
A hysteroscopic myomectomy, a laparoscopic myomectomy, or a uterine fibroid embolization avoids a large incision and an inpatient stay, which is both easier on recovery and thousands of dollars cheaper than an open abdominal procedure. Ask your doctor which options fit the size, number, and location of your fibroids, and whether you want to preserve fertility.
Choose an outpatient surgery center or outpatient IR when eligible
An ambulatory surgery center or an outpatient interventional radiology suite carries a much lower facility fee than a hospital. For a same-day hysteroscopic myomectomy, laparoscopic myomectomy, or UFE, it is usually the lowest-cost venue.
Request an all-in bundled cash price in writing
Uninsured patients are billed the full chargemaster rate, often 2-3x the negotiated rate. Ask for a single bundled price that includes the surgeon or radiologist, anesthesia, facility, embolic materials, and pathology so there are no surprise add-ons. Hospitals commonly cut 30-60% for cash paid upfront.
Compare facilities using price-transparency files
Federal rules require hospitals to post machine-readable cash prices. Reported prices for the same fibroid removal code range widely, so shopping 3-4 local facilities can save thousands.
Check hospital charity care, or get the bill reduced
Uninsured or lower income? Many hospitals offer free or discounted care. Use the charity care finder to see if you qualify nearby. Already billed? CareRoute Bill Defense reviews and negotiates it down, with no fee unless we save you money.
Frequently Asked Questions
Does insurance cover fibroid removal?
Yes, when it is medically necessary (for example, heavy bleeding, anemia, pelvic pain or pressure, or fibroids affecting fertility), fibroid removal is covered by essentially all commercial plans, Medicare, and Medicaid. This includes myomectomy and uterine fibroid embolization. Your out-of-pocket is your deductible plus coinsurance, capped by your plan's annual out-of-pocket maximum, typically $2,000 to $7,500. Get prior authorization first.
What is the cheapest way to remove fibroids?
For a submucosal fibroid inside the uterine cavity, a hysteroscopic myomectomy is usually the least expensive because it needs no incision and is done same-day. For other fibroids, a uterine fibroid embolization or a laparoscopic myomectomy is typically cheaper than an open abdominal myomectomy, which requires an inpatient stay. The right method depends on the size, number, and location of your fibroids, not on cost alone.
Is UFE cheaper than surgery?
Uterine fibroid embolization (UFE) is an outpatient, no-incision procedure done by interventional radiology, with a total cost often in the $10,000 to $25,000 range, similar to a laparoscopic myomectomy and sometimes less, with a shorter recovery. Whether you are a candidate depends on your fibroids and whether you want to preserve fertility, so ask your doctor to compare UFE with surgery for your situation.
Why is the billed amount so much higher than what people actually pay?
The chargemaster (list) price is a starting point almost no one pays. Billed charges for fibroid removal commonly run $20,000 to $45,000 or more, but insurers pay negotiated rates and Medicare pays a few thousand dollars for outpatient cases. Cash patients should always negotiate off the billed amount or ask for an all-in bundled price.
How much does Medicare pay for a myomectomy (CPT 58545)?
Under the 2026 Medicare Physician Fee Schedule, the surgeon's fee is about $808 for a laparoscopic myomectomy (CPT 58545), about $314 for a hysteroscopic myomectomy (CPT 58561), and roughly $980 to $1,015 for larger laparoscopic or open cases. The hospital facility fee is billed separately and is larger, so Medicare's total approved amount for an outpatient myomectomy is typically a few thousand dollars, with you responsible for about 20% coinsurance after the Part B deductible (a Medigap plan can cover that).
More Cost Guides
Sources
- CMS 2026 Physician Fee Schedule, national payment from total RVUs and the $33.4009 conversion factor (CPT 58561, 58545, 58546, 58140, 58146, 37243)
- Hospital price-transparency (machine-readable file) cash rates for fibroid removal CPT codes
- MDsave and GoodRx bundled and cash pricing for myomectomy and fibroid surgery
- Society of Interventional Radiology patient information on uterine fibroid embolization
- Healthcare Bluebook and FAIR Health fair-price data by method
Prices are national estimates for 2026 and vary by location, provider, method, and your specific plan. Last updated October 2, 2026.