CPT 58662
The standard charge for Destruction or removal of ovary or pelvic growths using an endoscope is $58,549.97. However, the price you pay depends on the rate negotiated by your insurance plan and what portion your insurance plan requires you to contribute towards that amount. Enter your info below to start your estimate.
To calculate an estimate of your cost, you will need two things:
LOCATION
176 Palisade Avenue, Jersey City, NJ, 07306CONTACT
Visit WebsiteHudson Regional Health is committed to empowering our patients to make informed decisions about their healthcare. This includes helping patients understand the cost of care and the availability of financial assistance.
In compliance with federal law, Hudson Regional Health provides a list of standard charges. These are reviewed on an annual basis. Charges for hospital services are not equivalent to the actual amount paid by insurance companies or patients. The amount paid for services is based on many factors, including health insurance benefit plans, applicable discounts, and services provided based on each patient’s unique needs.
I understand that the list of standard charges includes only hospital services and does not contain professional fees for non-Hudson Regional Health physicians or advanced practice providers. It does not contain professional fees for anesthesia, physicians or advanced practice providers.
I understand that a single line item charge may not represent a complete medical service. In general, multiple charge line items are necessary to represent all components of a service (e.g. procedures, supplies, and drugs).
I understand that the list of standard charges is not intended for media use.
I understand prices are the list price of all hospital charges and not necessarily what my insurance company will pay or what I will owe to the hospital. My actual bill may include one or more of list price charges.
The hospital typically accepts a rate that is less than the list charges. Your insurer will determine what you will owe after they have paid their agreed upon amount.
We know that the billing and payment processes may seem overwhelming at times. Please contact our team at 201-392-3100.
Choose a plan to view the insurance rate estimate.
Total estimated charges
$58,549.97Insurance Discount
-$40,984.98Price Negotiated by Insurer
$17,564.99Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 10MG/ML IV SOL
$85.39ANTIBODY SCREEN*****
$31.65BLOOD TYPE
$9.69CEFAZOLIN 2GM/100ML NACL IVPB
$42.63CH CBC/MANUAL DIFFERENTIAL
$25.17CH CELL BLOCK
$291.00CH CROSSMATCH
$73.80CH METABOLIC PANEL COMPREHEN
$34.21CYST W INS INDWELLING URTR ST
$9,615.03DEXAMETHASONE 10 MG/ML INJ
$9.75FACTOR II INHIBITOR III
$13.90FENTANYL 50 MCG/ML 1ML VIAL
$2.47HYDROMORPHONE 0.2 MG/ML PCA
$20.10KETOROLAC INJ 60MG/2ML
$15.07LUPUS PROFILE II
$19.47MIDAZOLAM 10MG/2ML INJ
$1.20ONDANSETRON 4MG/2ML INJ
$2.01PROPOFOL 10 MG/ML INJ (50 ML)
$93.91ROUTINE VENIPUNCTURE
$30.26This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Heights University Hospital so that your price and insurance eligibility can be confirmed.
Total estimated charges
$58,549.97Insurance Discount
-$40,984.98Price Negotiated by Insurer
$17,564.99Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 10MG/ML IV SOL
$85.39ANTIBODY SCREEN*****
$9.77BLOOD TYPE
$2.99CEFAZOLIN 2GM/100ML NACL IVPB
$42.63CH CBC/MANUAL DIFFERENTIAL
$7.77CH CELL BLOCK
$291.00CH CROSSMATCH
$73.80CH METABOLIC PANEL COMPREHEN
$10.56CYST W INS INDWELLING URTR ST
$9,615.03DEXAMETHASONE 10 MG/ML INJ
$9.75FACTOR II INHIBITOR III
$4.29FENTANYL 50 MCG/ML 1ML VIAL
$2.47HYDROMORPHONE 0.2 MG/ML PCA
$20.10KETOROLAC INJ 60MG/2ML
$15.07LUPUS PROFILE II
$6.01MIDAZOLAM 10MG/2ML INJ
$1.20ONDANSETRON 4MG/2ML INJ
$2.01PROPOFOL 10 MG/ML INJ (50 ML)
$93.91ROUTINE VENIPUNCTURE
$9.34This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Heights University Hospital so that your price and insurance eligibility can be confirmed.
Total estimated charges
$58,549.97Insurance Discount
-$43,619.73Price Negotiated by Insurer
$14,930.24Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 10MG/ML IV SOL
$72.58ANTIBODY SCREEN*****
$35.80BLOOD TYPE
$10.96CEFAZOLIN 2GM/100ML NACL IVPB
$36.24CH CBC/MANUAL DIFFERENTIAL
$28.47CH CELL BLOCK
$247.35CH CROSSMATCH
$62.73CH METABOLIC PANEL COMPREHEN
$38.69CYST W INS INDWELLING URTR ST
$8,172.78DEXAMETHASONE 10 MG/ML INJ
$8.29FACTOR II INHIBITOR III
$15.72FENTANYL 50 MCG/ML 1ML VIAL
$2.10HYDROMORPHONE 0.2 MG/ML PCA
$17.09KETOROLAC INJ 60MG/2ML
$12.81LUPUS PROFILE II
$22.02MIDAZOLAM 10MG/2ML INJ
$1.02ONDANSETRON 4MG/2ML INJ
$1.71PROPOFOL 10 MG/ML INJ (50 ML)
$79.82ROUTINE VENIPUNCTURE
$34.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Heights University Hospital so that your price and insurance eligibility can be confirmed.
Total estimated charges
$58,549.97Insurance Discount
-$43,619.73Price Negotiated by Insurer
$14,930.24Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 10MG/ML IV SOL
$72.58ANTIBODY SCREEN*****
$35.80BLOOD TYPE
$10.96CEFAZOLIN 2GM/100ML NACL IVPB
$36.24CH CBC/MANUAL DIFFERENTIAL
$28.47CH CELL BLOCK
$247.35CH CROSSMATCH
$62.73CH METABOLIC PANEL COMPREHEN
$38.69CYST W INS INDWELLING URTR ST
$8,172.78DEXAMETHASONE 10 MG/ML INJ
$8.29FACTOR II INHIBITOR III
$15.72FENTANYL 50 MCG/ML 1ML VIAL
$2.10HYDROMORPHONE 0.2 MG/ML PCA
$17.09KETOROLAC INJ 60MG/2ML
$12.81LUPUS PROFILE II
$22.02MIDAZOLAM 10MG/2ML INJ
$1.02ONDANSETRON 4MG/2ML INJ
$1.71PROPOFOL 10 MG/ML INJ (50 ML)
$79.82ROUTINE VENIPUNCTURE
$34.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Heights University Hospital so that your price and insurance eligibility can be confirmed.
Total estimated charges
$58,549.97Insurance Discount
-$56,685.97Price Negotiated by Insurer
$1,864.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ANTIBODY SCREEN*****
$7.85BLOOD TYPE
$3.74CH CBC/MANUAL DIFFERENTIAL
$9.35CH CROSSMATCH
$24.74CH METABOLIC PANEL COMPREHEN
$26.93CYST W INS INDWELLING URTR ST
$1,864.00FACTOR II INHIBITOR III
$5.61LUPUS PROFILE II
$5.61ROUTINE VENIPUNCTURE
$3.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Heights University Hospital so that your price and insurance eligibility can be confirmed.
Total estimated charges
$58,549.97Insurance Discount
-$43,619.73Price Negotiated by Insurer
$14,930.24Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 10MG/ML IV SOL
$72.58ANTIBODY SCREEN*****
$35.80BLOOD TYPE
$10.96CEFAZOLIN 2GM/100ML NACL IVPB
$36.24CH CBC/MANUAL DIFFERENTIAL
$28.47CH CELL BLOCK
$247.35CH CROSSMATCH
$62.73CH METABOLIC PANEL COMPREHEN
$38.69CYST W INS INDWELLING URTR ST
$8,172.78DEXAMETHASONE 10 MG/ML INJ
$8.29FACTOR II INHIBITOR III
$15.72FENTANYL 50 MCG/ML 1ML VIAL
$2.10HYDROMORPHONE 0.2 MG/ML PCA
$17.09KETOROLAC INJ 60MG/2ML
$12.81LUPUS PROFILE II
$22.02MIDAZOLAM 10MG/2ML INJ
$1.02ONDANSETRON 4MG/2ML INJ
$1.71PROPOFOL 10 MG/ML INJ (50 ML)
$79.82ROUTINE VENIPUNCTURE
$34.22This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Heights University Hospital so that your price and insurance eligibility can be confirmed.
Total estimated charges
$58,549.97Insurance Discount
-$44,153.18Price Negotiated by Insurer
$14,396.79Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 10MG/ML IV SOL
$0.05ANTIBODY SCREEN*****
$124.10BLOOD TYPE
$316.85CEFAZOLIN 2GM/100ML NACL IVPB
$0.85CH CBC/MANUAL DIFFERENTIAL
$7.77CH CELL BLOCK
$124.10CH CROSSMATCH
$405.73CH METABOLIC PANEL COMPREHEN
$10.56CYST W INS INDWELLING URTR ST
$8,394.37DEXAMETHASONE 10 MG/ML INJ
$0.11FACTOR II INHIBITOR III
$4.29FENTANYL 50 MCG/ML 1ML VIAL
$1.16HYDROMORPHONE 0.2 MG/ML PCA
$0.10LUPUS PROFILE II
$6.01MIDAZOLAM 10MG/2ML INJ
$0.17ONDANSETRON 4MG/2ML INJ
$0.09PROPOFOL 10 MG/ML INJ (50 ML)
$0.09ROUTINE VENIPUNCTURE
$9.34This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Heights University Hospital so that your price and insurance eligibility can be confirmed.
Total estimated charges
$58,549.97Insurance Discount
-$50,938.47Price Negotiated by Insurer
$7,611.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 10MG/ML IV SOL
$68.88ANTIBODY SCREEN*****
$12.35BLOOD TYPE
$81.43CEFAZOLIN 2GM/100ML NACL IVPB
$34.39CH CBC/MANUAL DIFFERENTIAL
$69.04CH CELL BLOCK
$126.10CH CROSSMATCH
$31.98CH METABOLIC PANEL COMPREHEN
$108.69CYST W INS INDWELLING URTR ST
$4,166.51DEXAMETHASONE 10 MG/ML INJ
$7.87FACTOR II INHIBITOR III
$41.33FENTANYL 50 MCG/ML 1ML VIAL
$1.99HYDROMORPHONE 0.2 MG/ML PCA
$16.21KETOROLAC INJ 60MG/2ML
$12.16LUPUS PROFILE II
$86.79MIDAZOLAM 10MG/2ML INJ
$0.97ONDANSETRON 4MG/2ML INJ
$1.62PROPOFOL 10 MG/ML INJ (50 ML)
$75.75ROUTINE VENIPUNCTURE
$50.70This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Heights University Hospital so that your price and insurance eligibility can be confirmed.
Total estimated charges
$58,549.97Insurance Discount
-$49,870.97Price Negotiated by Insurer
$8,679.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ANTIBODY SCREEN*****
$101.00BLOOD TYPE
$101.00CH CBC/MANUAL DIFFERENTIAL
$101.00CH CELL BLOCK
$101.00CH CROSSMATCH
$101.00CH METABOLIC PANEL COMPREHEN
$101.00CYST W INS INDWELLING URTR ST
$4,871.00FACTOR II INHIBITOR III
$101.00LUPUS PROFILE II
$101.00ROUTINE VENIPUNCTURE
$101.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Heights University Hospital so that your price and insurance eligibility can be confirmed.
Total estimated charges
$58,549.97Insurance Discount
-$49,767.47Price Negotiated by Insurer
$8,782.50Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ACETAMINOPHEN 10MG/ML IV SOL
$42.69ANTIBODY SCREEN*****
$14.25BLOOD TYPE
$93.96CEFAZOLIN 2GM/100ML NACL IVPB
$21.32CH CBC/MANUAL DIFFERENTIAL
$79.66CH CELL BLOCK
$145.50CH CROSSMATCH
$36.90CH METABOLIC PANEL COMPREHEN
$125.42CYST W INS INDWELLING URTR ST
$4,807.52DEXAMETHASONE 10 MG/ML INJ
$4.88FACTOR II INHIBITOR III
$47.69FENTANYL 50 MCG/ML 1ML VIAL
$1.24HYDROMORPHONE 0.2 MG/ML PCA
$10.05KETOROLAC INJ 60MG/2ML
$7.54LUPUS PROFILE II
$100.14MIDAZOLAM 10MG/2ML INJ
$0.60ONDANSETRON 4MG/2ML INJ
$1.00PROPOFOL 10 MG/ML INJ (50 ML)
$46.95ROUTINE VENIPUNCTURE
$58.50This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Heights University Hospital so that your price and insurance eligibility can be confirmed.
Total estimated charges
$58,549.97Insurance Discount
-$48,698.97Price Negotiated by Insurer
$9,851.00Deductible Applied
-Copay
-Coinsurance
-Your insurance company will pay
-You will owe (Estimate)
Some services may incur additional charges based on the exact care required. Listed below are commonly associated charges with this service and the rate negotiated by your insurance plan. These charges are listed to give you an idea of what types of other services are often required, but not all patients will require these specific services.
ANTIBODY SCREEN*****
$114.00BLOOD TYPE
$114.00CH CBC/MANUAL DIFFERENTIAL
$114.00CH CELL BLOCK
$114.00CH CROSSMATCH
$114.00CH METABOLIC PANEL COMPREHEN
$114.00CYST W INS INDWELLING URTR ST
$5,529.00FACTOR II INHIBITOR III
$114.00LUPUS PROFILE II
$114.00ROUTINE VENIPUNCTURE
$114.00This calculation is an estimate based on the data that you have entered. For verification of pricing, you need to submit this estimate to Heights University Hospital so that your price and insurance eligibility can be confirmed.