Quanto Custa Histerectomia?
A hysterectomy is the surgical removal of the uterus. It may be performed to treat uterine fibroids, endometriosis, uterine prolapse, abnormal bleeding, or gynecologic cancers.
Sem Seguro
$20,000
Com Seguro
$3,500
Medicare
$3,000
Média Nacional
$8,833
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-21 ·
Sources: CMS Medicare Provider Utilization and Payment Data 2025 · Methodology · Editorial standards Visão geral
Hysterectomy is the surgical removal of the uterus and is one of the most common major surgeries performed on women in the United States. Indications include uterine fibroids, abnormal uterine bleeding, endometriosis, uterine prolapse, chronic pelvic pain, and gynecologic cancers. Several approaches exist and the choice drives cost substantially: abdominal (open) hysterectomy, vaginal, laparoscopic, and robotic-assisted laparoscopic. Laparoscopic and vaginal approaches have shorter recoveries than open surgery. Partial (supracervical), total, and radical hysterectomies differ by what tissue is removed. If the ovaries are also removed (oophorectomy), that is usually billed with additional codes. Most patients spend one to three nights in the hospital, though same-day discharge is increasingly common for laparoscopic cases. Prior authorization is routinely required by commercial insurers, and indication documentation matters because coverage denials do happen when a conservative alternative has not been tried first.
O que afeta o custo
- Surgical approach: open abdominal hysterectomy is longer and uses more hospital resources than laparoscopic, vaginal, or robotic approaches, but robotic adds equipment fees.
- Site of service: hospital inpatient charges are higher than outpatient; same-day laparoscopic hysterectomy at an ASC or outpatient hospital is often cheapest.
- Additional procedures: concurrent oophorectomy, salpingectomy, or pelvic-floor repair add separate CPT codes and cost.
- Length of stay: each inpatient night adds thousands in room-and-board, nursing, and ancillary charges.
- Robotic platform fee: many hospitals pass through a robotic-equipment surcharge for da Vinci cases.
- Pathology: uterine and ovarian tissue are submitted for pathology, which adds a separate specimen charge.
Como Economizar
- Ask whether a less invasive approach (laparoscopic, vaginal) is clinically appropriate — both carry shorter stays and lower total costs than open surgery.
- Confirm prior authorization is on file and that indication documentation meets your plan's criteria.
- Check whether your hospital or a nearby ASC offers outpatient laparoscopic hysterectomy, which can cut facility charges significantly.
- Verify the surgeon, anesthesiologist, and assistant surgeon are all in-network before the date of surgery.
- Request an itemized Good Faith Estimate if self-pay; this also helps you challenge errors after surgery.
- If elective, schedule surgery after your deductible is met earlier in the year to maximize insurance coverage.
Notas sobre seguro e cobertura
Medicare Part A covers inpatient hysterectomy; Medicare Part B covers the surgeon, anesthesia, and outpatient follow-up. Commercial plans cover hysterectomy when medically necessary, but prior authorization is standard. Payers commonly require documentation that the condition has been evaluated and (for benign conditions) that conservative alternatives were considered. Expect to owe your full deductible plus coinsurance; out-of-pocket maximums are often reached for this one episode. Federal sterilization consent rules apply to certain Medicaid hysterectomy cases. Medicare Advantage plans can impose step therapy. Preoperative imaging, labs, and medical clearance are billed separately.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Medicare Provider Utilization and Payment Data 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-21. See editorial standards for our fact-checking process and correction policy.
Range: $14,600 to $27,600 · 50 states shown
Custo por Estado
| Estado | Sem Seguro | Com Seguro | Medicare |
|---|---|---|---|
| Mississippi | $14,600 | $2,555 | $2,190 |
| Arkansas | $15,000 | $2,625 | $2,250 |
| West Virginia | $15,000 | $2,625 | $2,250 |
| Alabama | $15,600 | $2,730 | $2,340 |
| Oklahoma | $15,600 | $2,730 | $2,340 |
| Kentucky | $17,000 | $2,975 | $2,550 |
| Louisiana | $17,200 | $3,010 | $2,580 |
| Iowa | $17,600 | $3,080 | $2,640 |
| New Mexico | $17,600 | $3,080 | $2,640 |
| South Carolina | $17,600 | $3,080 | $2,640 |
| South Dakota | $17,600 | $3,080 | $2,640 |
| Kansas | $17,800 | $3,115 | $2,670 |
| North Dakota | $17,800 | $3,115 | $2,670 |
| Idaho | $18,000 | $3,150 | $2,700 |
| Nebraska | $18,000 | $3,150 | $2,700 |
| Tennessee | $18,000 | $3,150 | $2,700 |
| Indiana | $18,600 | $3,255 | $2,790 |
| Missouri | $18,600 | $3,255 | $2,790 |
| Utah | $18,600 | $3,255 | $2,790 |
| Wyoming | $18,600 | $3,255 | $2,790 |
| Georgia | $18,800 | $3,290 | $2,820 |
| North Carolina | $18,800 | $3,290 | $2,820 |
| Michigan | $19,000 | $3,325 | $2,850 |
| Montana | $19,000 | $3,325 | $2,850 |
| Arizona | $19,600 | $3,430 | $2,940 |
| Ohio | $19,600 | $3,430 | $2,940 |
| Wisconsin | $19,600 | $3,430 | $2,940 |
| Maine | $19,800 | $3,465 | $2,970 |
| Texas | $19,800 | $3,465 | $2,970 |
| Florida | $20,200 | $3,535 | $3,030 |
| Minnesota | $20,200 | $3,535 | $3,030 |
| Illinois | $20,600 | $3,605 | $3,090 |
| Pennsylvania | $20,600 | $3,605 | $3,090 |
| Delaware | $20,800 | $3,640 | $3,120 |
| Nevada | $20,800 | $3,640 | $3,120 |
| Vermont | $20,800 | $3,640 | $3,120 |
| Virginia | $20,800 | $3,640 | $3,120 |
| Colorado | $21,200 | $3,710 | $3,180 |
| New Hampshire | $21,200 | $3,710 | $3,180 |
| Oregon | $21,200 | $3,710 | $3,180 |
| Maryland | $22,000 | $3,850 | $3,300 |
| Rhode Island | $22,200 | $3,885 | $3,330 |
| Washington | $22,200 | $3,885 | $3,330 |
| Connecticut | $24,000 | $4,200 | $3,600 |
| New Jersey | $24,000 | $4,200 | $3,600 |
| California | $26,400 | $4,620 | $3,960 |
| Massachusetts | $26,600 | $4,655 | $3,990 |
| Alaska | $27,000 | $4,725 | $4,050 |
| New York | $27,000 | $4,725 | $4,050 |
| Hawaii | $27,600 | $4,830 | $4,140 |
Perguntas Frequentes
Quanto custa histerectomia sem seguro?
O custo médio de histerectomia sem seguro nos Estados Unidos é $20,000. Os custos variam significativamente por estado.
O seguro cobre histerectomia?
A maioria dos planos de seguro de saúde cobre histerectomia quando medicamente necessário. Com seguro, o custo médio do próprio bolso é $3,500.
O Medicare cobre histerectomia?
O Medicare Parte B geralmente cobre histerectomia quando prescrito por um médico. O valor médio aprovado pelo Medicare é $3,000.
Revisado por Elena Bellini · Última revisão: 2026-04-21
Dados obtidos de CMS Medicare Provider Utilization and Payment Data 2025. Última atualização: 2026-03-01. Esta informação é apenas para fins educacionais e não constitui aconselhamento médico. Este site é apenas para fins informativos e não constitui aconselhamento médico. Consulte sempre um profissional de saúde qualificado.