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Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

Package

Laparoscopic Surgery of Ovaries and/or Fallopian Tubes

The adnexa refers to the area adjacent to the uterus, containing the ovaries, fallopian tubes (also known as oviducts), and connective tissues. Adnexal surgery is used to address issues with these structures. While open surgery can be performed, involving a larger incision for direct visualization and manipulation of tissues, laparoscopic surgery is usually preferred. This minimally invasive procedure involves making several small incisions in the abdominal wall. The abdomen is inflated with carbon dioxide gas, and a light and camera are inserted to provide a clear view. Specially designed surgical instruments are then inserted through the incisions to perform the procedure.


One common type of adnexal surgery is tubal ligation (commonly known as "having your tubes tied"). This can be achieved in several ways. In some cases, a device is used to close off the fallopian tubes. In other cases, part of the fallopian tube is removed (transection) or burned away (fulguration).


Ovarian cysts are fluid-filled growths on the ovary. While these cysts are often harmless and asymptomatic, they can sometimes cause symptoms. Laparoscopic surgery can be used to remove ovarian cysts. In some cases, the entire ovary is removed, while in others, only the portion of the ovary containing the cyst is removed. If problematic cysts are present on both ovaries, both ovaries may be removed, which will immediately induce menopause in women who have not yet gone through natural menopause.


In some cases, an ovarian cyst may raise concerns about cancer. Similarly, growths in the adnexa may potentially be cancerous. During laparoscopic surgery, these growths can be biopsied. A biopsy involves taking a small sample of tissue, which is sent to a laboratory for analysis to determine if it is cancerous. If a growth is small enough, the entire growth may be removed. However, if it is larger or has invaded deeper tissues, only a portion may be taken for analysis. Additionally, fluid from a cyst can be collected and analyzed to check for the presence of cancer cells.

NYC Langone Tisch Hospital

550 First Avenue, New York, NY 10016
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Up to
$3,029 / Case Rate

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

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

NYC Langone Tisch Hospital
$3,029

Without insurance

What goes into a price?

Prices across providers

This provider
$3,029
Lowest
$2,100
Highest
$13,168

Self pay or cash prices vary by provider when paying out of pocket without insurance benefits. The chart shows you how the lowest and highest amounts providers 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 Laparoscopic Surgery of Ovaries and/or Fallopian Tubes Standard Service Package (SSP RE004). 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 58661 Base Code Laparoscopic Surgery of Ovaries and/or Fallopian Tubes
HCPCS 58661 Professional Fee Laparoscopic Surgery of Ovaries and/or Fallopian Tubes
RC 0710 Facility Fee Recovery Room - General
HCPCS J2405 Facility Fee Intramuscular injection of ondansetron hydrochloride, 1mg
HCPCS J3010 Facility Fee Intramuscular injection of fentanyl citrate, 0.1mg
RC 0370 Facility Fee Anesthesia - General
RC 0250 Facility Fee Pharmacy (Also see 063X, an extension of 250X) - General
HCPCS J1100 Facility Fee Intramuscular injection of 1mg dexamethasone sodium phosphate
RC 0636 Facility Fee Pharmacy - Extension of 025X - Drugs requiring detailed coding
RC 0360 Facility Fee Operating Room Services - General
HCPCS J2704 Facility Fee Intramuscular injection of 10mg propofol
HCPCS J2250 Facility Fee Intramuscular injection of 1mg midazolam hydrochloride
RC 0272 Facility Fee Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X) - Sterile
HCPCS J1885 Facility Fee Intramuscular injection of 15mg ketorolac tromethamine
HCPCS J7120 Facility Fee Intravenous infusion of 1000cc of ringer's lactate solution
HCPCS 81025 Facility Fee Urine pregnancy test
HCPCS J3490 Optional Fee Pharmaceuticals without Categories
RC 0270 Optional Fee Medical/Surgical Supplies and Devices (Also see 062X, an extension of 027X) - General
HCPCS J0665 Optional Fee Injection of numbing medication for pain relief
RC 0300 Optional Fee Laboratory - General
RC 0310 Optional Fee Laboratory Pathology - General
RC 0312 Optional Fee Laboratory Pathology - Histology

Disclaimer

The NYC Health Department is committed to empowering New York City residents and employees to make informed health care decisions. This tool offers personalized estimates for common health services, providing a clearer picture of potential costs before your visit.

Your final out-of-pocket cost may vary based on your insurance coverage, any discounts, and the specific care you receive. Contact the provider directly to verify your estimate.

Up to
$3,029 / Case Rate

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

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

NYC Langone Tisch Hospital

Disclaimer

The NYC Health Department is committed to empowering New York City residents and employees to make informed health care decisions. This tool offers personalized estimates for common health services, providing a clearer picture of potential costs before your visit.

Your final out-of-pocket cost may vary based on your insurance coverage, any discounts, and the specific care you receive. Contact the provider directly to verify your estimate.

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)

Turquoise Health has developed SSPs which combine multiple medical services, materials, and fees associated with a health care visit or procedure into a single bundle to offer a more comprehensive estimate. SSPs are designed based on how health care procedures are commonly billed on claims. When discussing estimates with healthcare providers, you can refer to the individual codes listed in the 'Procedures included in this package' section of the tool.

Contact provider 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 Laparoscopic Surgery of Ovaries and/or Fallopian Tubes
Service Codes HCPCS 58661, Revenue Code 0710, HCPCS J2405, HCPCS J3010, Revenue Code 0370
Insurance I'm not using insurance
Provider NYC Langone Tisch Hospital
When you contact them, you can say:
"Hi, I'm calling to verify a price for Laparoscopic Surgery of Ovaries and/or Fallopian Tubes I found through NYC Health Department's price estimate tool. Here are the codes I’m looking at: HCPCS 58661, Revenue Code 0710, HCPCS J2405, HCPCS J3010, Revenue Code 0370. I'm not using insurance, can you confirm the cash pay estimate and help me schedule if needed?"
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