How Much Does a Hysterectomy Cost in 2026?
Without insurance, a hysterectomy typically costs $8,000 to $30,000, depending on the surgical approach and where it is done. With insurance, most people pay about $2,000 to $7,500 out of pocket.
- The surgical approach drives the price: vaginal is usually cheapest, then laparoscopic and robotic, and open abdominal is the most expensive because it needs an inpatient stay.
- An outpatient surgery center is the lowest-cost venue; bundled cash packages for a vaginal or laparoscopic hysterectomy can start around $8,000 with fees included.
- Billed/chargemaster charges (often $20,000-$50,000+) are far above what insurers, Medicare, or negotiated cash payers actually pay, so never treat the list price as final.
Hysterectomy Cost by Surgical Approach
Cash / self-pay price ranges. The approach and whether you stay overnight are the biggest factors.
| Approach | Cash price |
|---|---|
| Vaginal (outpatient) | $8,000 to $16,000 |
| Laparoscopic (outpatient) | $10,000 to $20,000 |
| Robotic-assisted (outpatient) | $12,000 to $24,000 |
| Open abdominal (inpatient) | $15,000 to $30,000+ |
Lowest price: A vaginal or laparoscopic hysterectomy at a bundled cash-price outpatient surgery center
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A typical hysterectomy runs $8,000 to $30,000 without insurance. Enter what you were charged and we will flag it.
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What Makes Up the Bill
Total billed before insurance is typically $20,000 to $50,000. It is usually split across:
The single biggest lever is the facility fee, which is why an outpatient surgery center is far cheaper than an inpatient hospital stay. For an open abdominal hysterectomy, each additional hospital night adds roughly $2,000 to $4,000. Removed tissue is almost always sent to pathology, which is billed separately.
With vs. Without Insurance
Without insurance (self-pay)
$8,000 to $30,000
Ask for the cash or prompt-pay price up front, and ask specifically about a vaginal or laparoscopic 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 hysterectomy leaves you owing your deductible plus coinsurance up to your annual out-of-pocket maximum, commonly $2,000-$7,500 total. Confirm the surgeon, 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 surgeon. Within a single metro, hospital-reported cash prices for the same hysterectomy CPT 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 you are a candidate for a less invasive approach
A vaginal or laparoscopic hysterectomy avoids a large incision and an inpatient stay, which is both safer for recovery and thousands of dollars cheaper than an open abdominal procedure. Ask your surgeon which approaches are options for your condition.
Choose an outpatient surgery center when eligible
An ambulatory surgery center carries a much lower facility fee than a hospital. For a same-day vaginal or laparoscopic hysterectomy, 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, anesthesia, facility, 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 hysterectomy 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.
Get your exact cost for your ZIP and insurance
Free, no signup. Enter the procedure, your ZIP code, and insurance to see what you would likely pay.
Open the cost estimatorFrequently Asked Questions
Does insurance cover a hysterectomy?
Yes, when it is medically necessary (for example, fibroids, endometriosis, abnormal bleeding, prolapse, or cancer), a hysterectomy is covered by essentially all commercial plans, Medicare, and Medicaid. 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. Elective sterilization-only requests may be handled differently, so confirm coverage first.
Which type of hysterectomy is cheapest?
A vaginal hysterectomy is usually the least expensive because it avoids large incisions and often allows same-day or short-stay outpatient recovery. Laparoscopic and robotic approaches cost a bit more (robotic adds equipment fees). An open abdominal hysterectomy is the most expensive because it typically requires an inpatient hospital stay of one to three days.
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 a hysterectomy commonly run $20,000 to $50,000 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.
What does the price include, and what might be extra?
A bundled price usually covers the surgeon, anesthesia, and facility. Watch for separate bills for pathology on the removed tissue, pre-op labs and imaging, the anesthesiologist if out-of-network, extra inpatient nights for an open procedure, and any complications. Robotic surgery may carry an added equipment fee. Always ask what is and is not included.
How much does Medicare pay for a laparoscopic hysterectomy (CPT 58570)?
For an outpatient laparoscopic hysterectomy, Medicare's total approved amount is roughly $3,000 to $6,000 depending on the facility setting, with the patient responsible for about 20% coinsurance after the Part B deductible (a Medigap plan can cover that). Inpatient abdominal cases are paid under Part A via the DRG instead.
More Cost Guides
Sources
- Medicare.gov Procedure Price Lookup and CMS fee schedules (CPT 58260, 58570, 58150)
- Hospital price-transparency (machine-readable file) cash rates for hysterectomy CPT codes
- MDsave and bundled surgery-center outpatient hysterectomy package pricing
- Healthcare Bluebook and FAIR Health fair-price data for hysterectomy by approach
- Peer-reviewed cost comparisons of vaginal, laparoscopic, robotic, and abdominal hysterectomy
Prices are national estimates for 2026 and vary by location, surgeon, approach, and your specific plan. Last updated September 12, 2026.