How Much Does Hysteroscopy Diagnostic Sep Procedure Cost?
Also known as: Hysteroscopy dx sep proc (CPT 58555)
Hysteroscopy, where a small camera is inserted through the cervix to examine the inside of the uterus.
The total estimated cost of Hysteroscopy Diagnostic Sep Procedure (CPT 58555) is $452 to $848, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $135.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: Hysteroscopy Diagnostic Sep Procedure
What you need to know before your appointment
What to Expect
A thin scope is passed through the cervix into the uterus. The doctor can examine the uterine lining and treat problems such as polyps or fibroids.
How Long Does It Take?
15-30 minutes
Common Reasons Doctors Order This
Abnormal uterine bleeding, polyps, fibroids, uterine septum, infertility evaluation, lost IUD
How to Prepare
Schedule when not menstruating. Take ibuprofen 1 hour before. You may have mild cramping during and after.
Procedures Commonly Done Together
These procedures are frequently performed alongside Hysteroscopy dx sep proc
How to Reduce Your Cost for Hysteroscopy dx sep proc
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($328) differs from the facility rate ($135). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (9.82) x CF ($33.40) = $328
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does Hysteroscopy dx sep proc cost?
The Medicare facility rate for Hysteroscopy dx sep proc is $135. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does Hysteroscopy dx sep proc cost without insurance?
Without insurance, the cost of Hysteroscopy dx sep proc can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover Hysteroscopy dx sep proc?
Most commercial health insurance plans and Medicare cover Hysteroscopy dx sep proc when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.