How Much Does a Hysterectomy Cost? Laparoscopic, Abdominal, and Robotic
Costs and Outcomes of Abdominal, Vaginal, Laparoscopic and Robotic Hysterectomies
The financial impact of a hysterectomy on women can be substantial. The expenses incurred for the procedure may vary considerably based on several factors such as the type of surgery, the surgeon and hospital selected, and the geographical location. Typically, abdominal and vaginal hysterectomies are the most affordable options, with expenses ranging from $5,000 to $12,000. A laparoscopic hysterectomy is usually more expensive, with costs ranging from $7,000 to $15,000. A robotic hysterectomy is the priciest choice, with expenses starting from $10,000 and potentially exceeding $20,000.
However, the overall cost of the procedure is just one consideration when making a decision about which type of hysterectomy to choose. There are also important outcomes to consider. For example, robotic hysterectomy is often considered the least invasive option, with less pain and a faster recovery time than other types of hysterectomy, affecting the total cost. However , there are also potential risks associated with this type of surgery, such as nerve damage and blood clots.
Before making a selection, it’s critical to consult with your doctor and weigh the benefits and drawbacks of each alternative. Other considerations to consider include your medical history, personal preferences and your surgeon’s expertise. You may make the best choice for your overall health, and your money by completing your homework and carefully examining all of your options.
How much does a hysterectomy cost? Average Hysterectomy Prices by State
Alabama $11,712 – $6,079
Alaska $15,849 – $8,226
Arizona $13,255 – $6,879
Arkansas $11,611 – $6,026
California $14,546 – $7,549
Colorado $12,803 – $6,645
Connecticut $14,009 – $7,271
Delaware $13,613 – $7,065
District of Columbia $13,494 – $7,003
Florida $12,861 – $6,646
Georgia $12,353 – $6,413
Hawaii $14,030 – $7,285
Idaho $11,948 – $6,205
Illinois $13,063 – $6,778
Indiana $12,087 – $6,273
Iowa $11.483 – $5.955
Kansas $11.798 – $6.114
Kentucky $11.665 – $6.054
Louisiana $12.165 – $6.306
Maine $12.605 – $6.538
Maryland $13.259 – $6.879
Massachusetts $13.892 – $7.206
Michigan $12.331 – $6.398
Minnesota $12,097 – $6,273
Mississippi $11,740 – $6,084
Missouri $11,949 – $6,201
Montana $12,222 – $6,335
Nebraska $11,670 – $6,051
Nevada $13,487 – $6,995
New Hampshire $13,043 – $6,763
New Jersey $13,782 – $7,146
New Mexico $12,569 – $6,519
New York $13,564 – $7,033
North Carolina $12,055 – $6,252
North Dakota $11,669 – $6,051
Ohio $11,999 – $6,221
Oklahoma $11,687 – $6,060
Oregon $13,023 – $6,753
Pennsylvania $12,801 – $6,641
Rhode Island $13,396 – $6,946
South Carolina $11,928 – $6,187
South Dakota $11,691 – $6,062
Tennessee $11,852 – $6,149
Texas $12,659 – $6,565
Utah $12,304 – $6,379
Vermont $12,883 – $6,679
Virginia $12,557 – $6,509
Washington $13,110 – $6,802
West Virginia $11,784 – $6,111
Wisconsin $12,140 – $6,293
Wyoming $12,197 – $6,325
Average Hysterectomy Prices in Other English-Speaking Countries
Australia
According to a report by the Australian Institute of Health and Welfare, the average cost of a hysterectomy in Australia was $8,600 in 2018-19.
Canada
According to an article by The Star, the average cost of a hysterectomy in Canada was $7,241 for an open (abdominal) procedure and $5,637 for a laparoscopic (keyhole) procedure in 2014.
Ireland
According to a website that compares medical prices abroad, the price of a hysterectomy in Ireland may range from $5,000 to $15,000 depending on the type of procedure performed and the hospital.
New Zealand
According to a study by the New Zealand Medical Journal, the average cost of a hysterectomy for uninsured patients in New Zealand was $3,868 in 19944. I could not find any more recent data on healthcare costs for this topic.
United Kingdom
According to the National Health Service (NHS), the average cost of a hysterectomy in the United Kingdom was £4,800 in 2019.
Inpatient vs. outpatient facility cost differences
One of the main factors that affect the cost of a hysterectomy is whether it is done as an inpatient or outpatient procedure. Generally speaking, outpatient gynecologic procedures are cheaper than inpatient ones because they require fewer hospital resources and services.
According to a report by New Choice Health Blog, based on data from 2019, the national average cost for a laparoscopic hysterectomy at an inpatient facility was $25,925, while at an outpatient facility, it was $16,150. That is a difference of almost $10,000.
Similarly, according to Medicare.gov, based on data from 2019-2020, the average cost for a hysterectomy at an inpatient facility was $13,400, while at an outpatient facility, it was $5,368. That is a difference of over $8,000.
Factors Affecting Hysterectomy Costs
Type of Hysterectomy
The type of hysterectomy performed plays a significant role in determining the overall cost. Laparoscopic and vaginal hysterectomies are generally less expensive than abdominal hysterectomies due to shorter hospital stays and reduced postoperative care requirements.
Health Insurance Coverage
Health insurance coverage greatly influences the cost of a hysterectomy. Coverage varies depending on the insurance plan and the medical necessity of the procedure. It is essential to review your policy and discuss coverage details with your insurance provider.
Total Cost Considerations
The total cost of a hysterectomy encompasses various factors, including preoperative consultations, surgical fees, anesthesia costs, hospital charges, postoperative care, and any potential complications. It is important to inquire about an itemized breakdown of costs from your healthcare provider.
Medically Necessary Procedures
In cases where a hysterectomy is deemed medically necessary, insurance coverage may be more likely. However, individual insurance plans and policies differ, so it’s important to verify coverage specifics and requirements.
Without Insurance
Coverage For individuals without health insurance, the cost of a hysterectomy can be substantial. Discussing payment options and potential financial assistance with healthcare providers or seeking guidance from healthcare advocacy organizations can help navigate these challenges.
What are the benefits and risks of inpatient and outpatient hysterectomies?
Besides cost, there are other advantages and disadvantages of choosing an inpatient or outpatient (ambulatory) hysterectomy. Some of them are:
Benefits
- Outpatient hysterectomies may have shorter recovery times and lower infection rates than inpatient ones.
- Outpatient hysterectomies may cause less pain and discomfort than inpatient ones.
- Outpatient hysterectomies may allow you to return to your normal activities sooner than inpatient ones.
- Inpatient hysterectomies may provide more monitoring and care after the surgery than outpatient ones.
- Inpatient hysterectomies may be safer for patients with complex medical conditions or high risk of complications than outpatient ones.
Risks
- Outpatient hysterectomies may have higher readmission rates than inpatient ones due to complications or uncontrolled pain.
- Outpatient hysterectomies may require more follow-up visits and phone calls than inpatient ones to ensure proper healing and recovery.
- Inpatient hysterectomies may have longer surgery times and more blood loss than outpatient ones.
- Inpatient hysterectomies may cause more scarring and adhesions than outpatient ones.
- Inpatient hysterectomies may have more psychological impact than outpatient ones due to the hospital stay and separation from family.
Different types of hysterectomies
The main types of hysterectomy are:
Partial (supracervical) hysterectomy:
Hysterectomy that only removes the upper portion of the uterus while leaving the cervix (the neck of the womb) intact is referred to as a partial (supracervical) hysterectomy. If they have never had an abnormal Pap smear test or if they think it helps to lessen sex-related repercussions, some women might prefer this choice. The advantages and disadvantages of leaving the cervix in situ, however, are still being studied. After a partial hysterectomy, women could still require annual Pap tests and experience minimal vaginal bleeding every month.
Total hysterectomy:
The uterus and cervix are both removed during this kind of hysterectomy. The most typical kind of hysterectomy performed now is this one. Total hysterectomy patients no longer require Pap tests and do not have menstruation.
Radical hysterectomy:
The entire uterus, the cervix, the upper part of the vagina, and supportive tissues are all removed with this kind of hysterectomy. This kind of hysterectomy may be required in some cancer instances, particularly cervical cancer. Both bladder control and sexual function may be impacted by a radical hysterectomy.
Bilateral salpingo-oophorectomy
Bilateral salpingo-oophorectomy is the medical term for a hysterectomy in which both ovaries and fallopian tubes are removed. Induced or medical menopause results from the surgical removal of the fallopian tubes and ovaries before a woman reaches natural menopause; as a result, she no longer produces estrogen and progesterone hormones and no longer menstruates. Symptoms like hot flashes, vaginal dryness, mood swings, and bone loss could result from this. Some of these symptoms might be lessened with hormone replacement therapy.
Types of surgical procedures
A hysterectomy can be done using a number of different methods and types of surgery. The choice relies on a number of things, like the reason for the surgery, the size and shape of the uterus, the surgeon’s experience and preference, and the patient’s health and wishes. The most common types of surgery are:
Abdominal hysterectomy:
In this surgery, a cut is made in the lower abdomen. This kind of process is also called “open.” During this surgery, the surgeon can see everything going on in the pelvis. This lets them take out a big uterus or check other reproductive organs and pelvic parts for signs of disease. The downside is that there is a higher chance of complications , such as infection, abnormal bleeding sometimes, clots and damage to nerves and tissues, than with less invasive treatments. It also takes longer to get better, and there will be a scar on the belly.
Vaginal hysterectomy:
In this surgery, a cut is made in the vagina and the uterus is taken out through it. It’s called a “closed procedure.” This surgery is less likely to cause problems and takes less time to heal from than an abdominal hysterectomy. There will be no scar that can be seen on the belly. But if the uterus is too big or if there are other problems in the groin, this surgery might not be possible.
Laparoscopic hysterectomy:
This procedure necessitates making a series of tiny incisions in the patient’s belly and threading long, thin instruments inside. A laparoscope is a thin tube, equipped with a light and camera that provides an interior view of the pelvis for the surgeon. The removal of the uterus is made through any of these small incisions or the vagina. A minimally invasive hysterectomy is one in which as little tissue as possible is cut. Recovery from this procedure is quicker and less risky than that of an abdominal hysterectomy. The scars on my stomach are also much lighter and smaller. A big uterus, substantial scar tissue, or cancer may rule out this procedure as an option for certain women.
Robotic hysterectomy:
This surgery is similar to a laparoscopic hysterectomy, but it uses a robotic system that allows the surgeon to have more precision and control over the instruments. The surgeon operates the robotic arms from a console that shows a magnified 3D image of the pelvis. This minimally invasive surgery may offer some advantages over a laparoscopic hysterectomy, such as better visualization, more flexibility and less blood loss. However , it is also more expensive and may not be available in all hospitals.
Will health insurance cover your hysterectomy?
Your unique plan will dictate your coverage if you get insurance via your work. The majority of policies cover hysterectomies if they are medically required, so if you require the treatment for a health reason, your health insurance company will probably pay for it. However, your insurance may not pay for a hysterectomy if you desire one for private reasons, such as to avoid getting pregnant. It’s crucial to study the small print of your plan and speak with your insurance company to see what is and isn’t covered.
If you have insurance through the Affordable Care Act (ACA), your plan is required to cover essential health benefits, which include preventive care, prescription drugs, and maternity care. Hysterectomies may be covered under maternity care, but it depends on the specific plan. Again, it’s important to read the fine print and talk to your insurance provider to understand your coverage options.
Finally, if you have Medicare, your coverage will depend on whether the hysterectomy is deemed medically necessary. Medicare covers medically necessary hysterectomies, but not elective ones. Again, it’s important to talk to your doctor and your insurance provider to understand your coverage options.
Payment responsibility
Who is accountable for covering the total cost of a hysterectomy? The solution is quite complex, as is the case with many healthcare-related issues.
It’s crucial to first and foremost comprehend that insurance coverage differs greatly. In general, your insurance will probably pay for a hysterectomy if your doctor determines it to be medically necessary. However, a number of variables, including your health insurance company, the details of your policy, and your medical history, can affect coverage.
Also, it’s important to know that a hysterectomy may come with extra costs that aren’t paid by insurance. For example , there may be extra costs for anesthesia, surgeon’s fees and hotel stays. Again, these prices can change based on many things.
You can be required to foot the bill for a hysterectomy if you don’t have any health care insurance or if your policy doesn’t cover the procedure’s price. This might be frightening , especially if you are currently coping with health issues and the associated costs. However, it’s crucial to keep in mind that there are ways to save money and subsidize the cost of care.
Many healthcare providers and hospitals offer financial assistance or payment plans to make care more accessible to those in need. It’s important to explore these options and have open conversations with your healthcare provider and insurance provider to understand the total cost and resources available to you.
The total hysterectomy cost will ultimately be determined by a number of variables, various factors such as insurance coverage, the necessity of the procedure and more. Even if the cost of the treatment can be worrying, it’s crucial to put your health and well-being first. No matter your financial circumstances, you can make educated decisions and receive the treatment you require by being open and honest with your healthcare team.
FAQs
Q1: How much does a hysterectomy cost?
A1: The cost of a hysterectomy can vary depending on several factors, including the type of procedure performed, the location of the surgery, and individual healthcare provider charges. It is best to consult with your doctor and insurance provider for an accurate estimate.
Q2: What is the average cost of removing the uterus due to fibroids?
A2: The cost of removing the uterus due to fibroids can vary. It depends on factors such as the complexity of the procedure, the surgeon’s fees, hospital charges, and any additional necessary treatments or tests. It is advisable to discuss the specific details and costs with your healthcare provider.
Q3: Are there any potential bowel complications associated with a hysterectomy?
A3: Although rare, bowel complications can occur after a hysterectomy. These complications may include bowel injury, infection, or bowel obstruction. It is essential to discuss any concerns regarding bowel complications with your doctor, who can provide detailed information and appropriate guidance.
Q4: What is a laparoscopic vaginal hysterectomy, and how does it affect the cost?
A4: A laparoscopic vaginal hysterectomy is a minimally invasive surgical procedure that combines the use of laparoscopic techniques and vaginal incisions to remove the uterus. The cost of this procedure may vary depending on factors such as the surgeon’s expertise, the complexity of the case, and the location of the surgery.
Q5: What role does obstetrics and gynecology play in performing hysterectomies?
A5: Obstetrics and gynecology (OB/GYN) specialists are medical professionals who specialize in women’s reproductive health. They are often the primary healthcare providers who perform a hysterectomy. Their expertise and knowledge in this field ensure proper evaluation, diagnosis, and treatment of conditions warranting a hysterectomy.
Q6: Is it necessary to remove the entire uterus during a hysterectomy?
A6: The decision to remove the entire uterus or only a part of it depends on various factors, including the underlying condition, the extent of the disease, and the patient’s specific circumstances. The doctor will carefully evaluate these factors and recommend the most suitable approach.
Q7: Can complications arise from a hysterectomy?
A7: While a hysterectomy is generally considered safe, like any surgical procedure, it carries potential risks and complications. These can include bleeding, infection, damage to nearby organs, adverse reactions to anesthesia, and blood clots. It is crucial to discuss these risks with your surgeon before the procedure.
