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Package

Hysterectomy - laparoscopic

Package

Hysterectomy - laparoscopic

Laparoscopic hysterectomy is a minimally invasive surgery to remove the uterus using small incisions and a camera-guided instrument, most often recommended for conditions such as fibroids, endometriosis, abnormal bleeding, or cancer. The procedure is done under general anesthesia and typically results in less pain, a shorter hospital stay, and faster recovery than traditional open surgery. Depending on your condition, the surgeon may also remove the ovaries or fallopian tubes during the same procedure. Most people return to normal activities within a few weeks, and your doctor will provide instructions for recovery and follow-up care.
You'd pay up to
$8,156 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

$8,156

Without insurance

What goes into a price?

Negotiated prices across insurers

Lowest
$1,568
Highest
$18,502
Cash price
up to $8,156

Self pay or cash prices vary by facility when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts facilities charge for this service if you were paying without insurance benefits. If you're uninsured or not submitting a claim to insurance, you also have the right to a Good Faith Estimate under federal law. Contact the provider for a copy of your Good Faith Estimate or to better understand payment options available to you.

Procedures included in this package

This list includes the services and fees bundled into the Hysterectomy - laparoscopic Standard Service Package (SSP RE000). The final price for the procedure will depend on which services your provider ultimately performs, your insurance plan and your medical benefits.

Code Code Type Description
HCPCS J1885 Facility Fee Intramuscular injection of 15mg ketorolac tromethamine
HCPCS J3010 Facility Fee Intramuscular injection of fentanyl citrate, 0.1mg
HCPCS J0690 Facility Fee Intramuscular injection cefazolin sodium, 500mg
HCPCS 58552 Facility Fee Surgical Laparoscopy with Vaginal Hysterectomy and Ovarian/Tubal Removal for Uterus Under 250 G
HCPCS J2405 Facility Fee Intramuscular injection of ondansetron hydrochloride, 1mg
HCPCS J2250 Facility Fee Intramuscular injection of 1mg midazolam hydrochloride
HCPCS J1100 Facility Fee Intramuscular injection of 1mg dexamethasone sodium phosphate
HCPCS 86900 Facility Fee Serologic test to determine abo blood type
HCPCS 58552 Professional Fee Surgical Laparoscopy with Vaginal Hysterectomy and Ovarian/Tubal Removal for Uterus Under 250 G
HCPCS 85027 Facility Fee Complete blood count (CBC) – basic blood cell count
HCPCS 88307 Facility Fee Surgical Pathology Gross/Microscopic Exam, Various Organ/Tissue Resections/Biopsies
HCPCS J7120 Facility Fee Intravenous infusion of 1000cc of ringer's lactate solution

Disclaimer

Hawaii Health Systems Corporation 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, we provide a list of standard charges that 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.

You'd pay up to
$8,156 / Case Rate

A single, all-inclusive pricing methodology for a procedure in healthcare contracts, instead of separate charges for each service.

The estimated total cost of care without any insurance coverage or discounts.

Disclaimer

Hawaii Health Systems Corporation 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, we provide a list of standard charges that 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.

What’s the difference between an individual procedure and a Standard Service Package (SSP)?

Individual Procedure

Individual procedures, like blood tests, each have unique prices and billing codes (like a CPT or HCPCS code). While they can be billed alone, they're usually grouped with other procedures on a claim. This grouping is what determines the total cost of your care.

Standard Service Package (SSP)

A SSP combines all medical services, materials, and fees associated with a healthcare visit or procedure into a single bundle to offer a more comprehensive estimate.

Contact us to verify your estimate

Have your service name, codes, and payment preference ready. If you’re using insurance, you may be asked for insurance details like your Member or Group ID.

Service Hysterectomy - laparoscopic
Service Codes HCPCS J1885, HCPCS J3010, HCPCS J0690, HCPCS 58552, HCPCS J2405
Insurance I'm not using insurance
Location Hilo Benioff Medical Center Main
When you contact us, you can say:
"Hi, I'm calling to verify a price for Hysterectomy - laparoscopic I found through Hilo Benioff Medical Center Main's price estimate tool. Here are the codes I’m looking at: HCPCS J1885, HCPCS J3010, HCPCS J0690, HCPCS 58552, HCPCS J2405. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"