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California

Cost of a Endometrial Ablation Visit
in California

Reviewed by Momentary Medical Group West PC

California's robust gynecology market includes 778 active OB-GYN providers offering endometrial ablation across the state's diverse healthcare networks. Professional fees for endometrial ablation in California range from $245 to $6,978, with a median cost of $1,904, running slightly above the national average due to the state's higher practice overhead costs. Patients can browse qualified ablation providers throughout California to compare pricing and availability.

Average

$3,043

Median

$1,904

Lowest

$245

Highest

$6,978

Providers

778

National avg: $2,288California: $3,043

33% above national average

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How does endometrial ablation compare to related procedures in California?

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Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 58563Hysteroscopic endometrial ablation (CPT 58563), thermal balloon endometrial ablation (CPT 58353), endometrial cryoablation (CPT 58356)). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 58563 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 58563 (Hysteroscopic endometrial ablation (CPT 58563), thermal balloon endometrial ablation (CPT 58353), endometrial cryoablation (CPT 58356)), as mandated by the CMS Price Transparency Rule.

What CPT 58563 covers: the provider's professional fee for endometrial ablation. It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Top-Rated Hospitals in California

These hospitals in California are top-rated for patient satisfaction. Review data sourced from HCAHPS Patient Survey.

5/5
90% would recommend136 patient surveys
5/5
90% would recommend544 patient surveys
5/5
89% would recommend411 patient surveys
MAMMOTH HOSPITAL

MAMMOTH LAKES, CA

5/5
87% would recommend104 patient surveys
5/5
86% would recommend243 patient surveys

Hospital ratings are based on HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey data published by CMS.

Why Endometrial Ablation Visit Costs Vary Across California

California's gynecology market features large independent OB-GYN groups, a competitive ambulatory surgery center network, and major integrated health systems like Kaiser Permanente and Sutter Health. This competitive landscape creates significant pricing variation for endometrial ablation across different practice settings.

Urban vs. Rural Provider Availability

Bay Area, Los Angeles, and San Diego metros have dense OB-GYN coverage with numerous providers offering in-office NovaSure ablation for cost savings and convenience. Central Valley and Northern California markets rely more heavily on hospital outpatient departments and ASCs due to lower physician density. Rural areas may require travel to urban centers for ablation procedures.

Facility Type and Overhead Costs

In-office NovaSure procedures typically cost $5,000 to $10,000 cash-pay due to lower overhead and no facility fees. Ambulatory surgery centers charge $10,000 to $15,000 for the same procedure with slightly higher facility costs but still significant savings over hospitals. Hospital outpatient departments command $20,000 to $30,000 due to substantial facility fees and higher operational overhead.

Insurance Market Competition in California

California's competitive insurance market includes strong Kaiser Permanente penetration alongside robust commercial PPO and HMO options from multiple carriers. This competition generally results in reasonable coverage for medically necessary procedures like endometrial ablation. The state's insurance regulations also provide additional patient protections against surprise billing.

OB-GYN Density

With 778 active providers filing endometrial ablation rates, California offers excellent access to experienced OB-GYN specialists across major metropolitan areas. This high provider density creates competitive pricing pressure and gives patients multiple options for both consultation and procedure scheduling. The concentration of providers particularly benefits patients seeking office-based alternatives to hospital procedures.

Cost by Procedure Type

Endometrial Ablation can be billed under different CPT codes depending on what's done during the procedure in California.

CPT 58563778 providers

CPT 58563

$1,904
Range: $245$6,978
CPT 58353781 providers

CPT 58353

$970
Range: $190$3,573
CPT 58356774 providers

CPT 58356

$1,830
Range: $332$6,523

Costs shown are median negotiated rates. Your actual cost depends on your insurance plan and provider.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Endometrial Ablation Costs in California

What is the average cost of endometrial ablation in California without insurance?

Professional fees for endometrial ablation in California range from $245 to $6,978, with a median cost of $1,904 based on negotiated rates across insurers. Hospital outpatient procedures typically cost $20,000 to $30,000 all-in due to substantial facility fees, while in-office NovaSure ablation ranges from $5,000 to $10,000 cash-pay. The setting you choose makes the biggest difference in your total out-of-pocket cost.

Does Medi-Cal cover endometrial ablation?

Yes, Medi-Cal covers endometrial ablation when medically indicated for heavy menstrual bleeding with documented failed medical management. Prior authorization is required along with appropriate documentation including failed hormonal therapy and imaging to rule out structural causes. Coverage approval is generally straightforward when proper medical necessity criteria are met.

How do I find an affordable endometrial ablation in California?

Look for OB-GYN practices that offer in-office NovaSure ablation, which can save $15,000+ compared to hospital outpatient procedures. Compare cash-pay rates across multiple providers, as many California practices offer competitive self-pay pricing below insurance rates. Consider ambulatory surgery centers as a middle-ground option between office and hospital pricing.

What is the difference between hysteroscopic and thermal balloon ablation?

Hysteroscopic ablation uses NovaSure radiofrequency technology and takes about 90 seconds of active treatment time. Thermal balloon ablation uses heated saline circulation and requires about 8 minutes of treatment time. Both methods are clinically equivalent for most patients and achieve similar success rates for reducing heavy menstrual bleeding.

Can I use an HSA or FSA to pay for endometrial ablation in California?

Yes, endometrial ablation is HSA and FSA eligible when medically indicated for heavy menstrual bleeding and recommended by your OB-GYN. The procedure must be for medical treatment rather than elective purposes to qualify for tax-advantaged health savings account reimbursement. Keep all documentation including prior authorization and medical records for tax purposes.

How long is recovery from endometrial ablation?

Most patients experience 1 to 2 days of mild cramping and watery discharge following endometrial ablation. Return to normal activities typically occurs within 3 to 5 days, though heavy lifting should be avoided for about one week. Office-based and hospital-based procedures have similar recovery timelines and post-procedure care requirements.

Click a state to compare costs

Average Visit Cost

$1,246
$3,709

Office visit (CPT 58563)

Compare With Other States

RankStateAverage
1California
Range: $245$6,978
$3,043
Endometrial Ablation in Other States