Myoma & Hysterectomy Surgery Cost in the Philippines [2026 Guide]

Quick Answer: In the Philippines in 2026, myoma surgery (myomectomy) costs roughly ₱50,000 to ₱200,000 and a total hysterectomy costs roughly ₱90,000 to ₱185,000 in private hospitals, depending on the technique (open vs. laparoscopic), the surgeon, and the hospital. PhilHealth covers a fixed case rate of around ₱45,000 for an abdominal hysterectomy or abdominal myomectomy, about ₱53,000 for a vaginal myomectomy, and up to roughly ₱90,000 for a vaginal hysterectomy (PhilHealth Circular 2024-0037), deducted directly from your bill. In government hospitals, ward patients often pay close to ₱0 after PhilHealth plus charity assistance. HMOs like Maxicare, Medicard, and Intellicare typically cover the procedure with a Letter of Authorization.

Table of Contents

• Introduction
• Cost Comparison Table
• Myomectomy vs. Hysterectomy: What's the Difference
• Surgical Approaches and How They Affect Price
• Government vs. Private Hospital Cost
• What Affects the Price
• PhilHealth Case Rates for Myoma and Hysterectomy
• HMO Coverage
• Where to Get Myoma or Hysterectomy Surgery
• Frequently Asked Questions
• Conclusion

Introduction

Uterine fibroids (locally called myoma) are among the most common reasons Filipino women need gynecologic surgery. These benign growths in the wall of the uterus can cause heavy menstrual bleeding, pelvic pain, pressure on the bladder, and fertility problems. When fibroids are large, multiple, or symptomatic, doctors often recommend surgery — either a myomectomy (removing the fibroids while keeping the uterus) or a hysterectomy (removing the uterus entirely).

The cost of these operations varies widely. The same procedure can cost ₱60,000 at one hospital and over ₱180,000 at another, driven by the surgical technique, the hospital tier, the surgeon's professional fee, and how long you stay admitted. The good news is that both procedures are covered by PhilHealth case rates, and in government hospitals the out-of-pocket cost for ward patients can drop to almost nothing once PhilHealth and charity assistance are applied.

This guide breaks down the real 2026 price ranges for myoma and hysterectomy surgery in the Philippines, explains the official PhilHealth case rates, and shows you where to get the procedure done. All price ranges here are presented as informed estimates drawn from published Philippine sources — actual quotes depend on your hospital, surgeon, and case.

Cost Comparison Table

Private estimates are typical "all-in" ranges (hospital, surgeon, anesthesia, room) compiled from Philippine cost references for 2025-2026. PhilHealth case rates are fixed amounts deducted from your bill, per PhilHealth Circular 2024-0037 (Annex B, List of Procedure Case Rates). Always confirm the current figure and your exact quote with the hospital and PhilHealth.

Myomectomy vs. Hysterectomy

The first decision — and the biggest cost driver — is which operation you actually need. Your gynecologist decides this based on your age, symptoms, the size and number of fibroids, and whether you want to preserve fertility.

Myomectomy (₱50,000 - ₱200,000)

A myomectomy removes only the fibroids and leaves the uterus intact. It is the preferred option for women who still want to have children, or who simply want to keep their uterus. Because the surgeon must carefully cut out each fibroid and repair the uterine wall, myomectomy can actually be more technically demanding than a hysterectomy, especially when there are many fibroids or they are deep in the muscle.

Best for: Women who want to preserve fertility, younger patients, single or few fibroids.

Hysterectomy (₱90,000 - ₱185,000)

A hysterectomy removes the entire uterus, which permanently ends both menstruation and the possibility of pregnancy. It is the definitive cure for fibroids because they cannot recur once the uterus is gone. A total hysterectomy removes the uterus and cervix; a subtotal (supracervical) hysterectomy keeps the cervix. The ovaries may or may not be removed depending on your age and risk factors.

Best for: Women who have completed their family, severe or recurrent fibroids, very large uterus, or other coexisting conditions.

Surgical Approaches and Price

For both procedures, the route the surgeon uses changes the cost, the scar, and the recovery time. There are three main approaches:

Abdominal / Open (Lowest Cost)

The surgeon makes an incision in the lower abdomen (similar to a C-section scar) to reach the uterus. This is the most widely available and usually the least expensive approach. Recovery takes about 4-6 weeks. Most government hospitals and smaller private hospitals offer the open approach as standard.

Vaginal (Moderate Cost)

The uterus or fibroids are removed through the vagina with no abdominal incision, meaning no external scar and faster recovery. This is only possible in certain cases (smaller uterus, fibroids positioned suitably). PhilHealth's case rate for a vaginal hysterectomy is notably higher than for the abdominal version.

Laparoscopic / Minimally Invasive (Highest Cost)

Using a camera and small instruments through tiny incisions ("keyhole" surgery), the laparoscopic approach offers smaller scars, less pain, and faster recovery (often 1-2 weeks). The trade-off is price — laparoscopic surgery adds roughly ₱40,000 to ₱90,000 or more because of the specialized equipment and longer operating time, and it is mainly available in larger private hospitals with trained laparoscopic gynecologists. A LAVH (laparoscopic-assisted vaginal hysterectomy) combines the two minimally invasive routes.

Government vs. Private Cost

Where you have the surgery is often the single biggest factor in what you actually pay out of pocket.

Government / public hospitals (such as Philippine General Hospital, Jose Fabella Memorial Hospital, regional medical centers, and provincial hospitals) charge heavily subsidized rates. For ward-bed (basic accommodation) patients, the PhilHealth case rate plus charity assistance through the hospital's Malasakit Center — a one-stop shop combining help from DOH, PhilHealth, DSWD, and PCSO — can bring the out-of-pocket cost down to near ₱0. The trade-off is the queue: elective fibroid surgery in a public hospital can mean a wait of several weeks to months for a slot.

Private hospitals charge the full ₱50,000-₱200,000 ranges shown above, but you get a faster schedule, a private or semi-private room, and your choice of surgeon. After the PhilHealth case rate is deducted (and HMO coverage, if any), your remaining balance depends entirely on the hospital tier and room you choose.

What Affects the Price

Two patients having "the same" myoma surgery can pay very different amounts. The main variables:

• Surgical approach: Laparoscopic costs the most; open abdominal the least.
• Hospital tier: A premier private tertiary hospital in Metro Manila charges far more than a Level 1 provincial hospital for the same operation.
• Surgeon's professional fee: Senior, sub-specialist gynecologic surgeons command higher PFs.
• Size, number, and location of fibroids: A single small fibroid is quick; a uterus full of large, deep fibroids means a longer, costlier operation.
• Room and length of stay: A private suite plus extra recovery days add up fast. Open surgery usually means a longer admission than laparoscopic.
• Anesthesia: General anesthesia and the anesthesiologist's fee are separate line items.
• Blood transfusion: Large or bleeding fibroids may require blood, adding cost.
• Pre-operative workup: Blood tests, ultrasound, and clearances are charged before the operation.
• Complications or extended surgery: Removing tubes/ovaries or managing adhesions raises the total.

PhilHealth Case Rates

PhilHealth covers myoma and hysterectomy surgery through fixed case rates — set peso amounts automatically deducted from your hospital bill at any accredited facility. You do not apply in advance; the hospital files the claim and subtracts the case rate from your final bill. The amount is split between a hospital (facility) portion and a professional-fee portion.

Based on PhilHealth Circular 2024-0037 (the 50% case-rate adjustment, Annex B – List of Procedure Case Rates), the current published rates for the relevant procedures are approximately:

These figures are official and currently published, but PhilHealth updates rates periodically — verify the exact current amount for your specific procedure code through the PhilHealth Case Rates Search or by asking the hospital's billing or PhilHealth desk. The case rate is the same nationwide, in both public and private accredited hospitals; what differs is the total bill the case rate is deducted from. For the full picture of how case rates and benefits work, see our PhilHealth benefits and coverage guide.

HMO Coverage

If you have an HMO plan through your employer, myoma and hysterectomy surgery are generally covered when deemed medically necessary, on top of (or coordinated with) PhilHealth. Major HMOs in the Philippines — Maxicare, Medicard, Intellicare, and others — typically cover the procedure once your accredited gynecologist secures a Letter of Authorization (LOA) and the case is approved.

Coverage details depend on your plan's annual benefit limit, your room-and-board entitlement, and whether the procedure is treated as a covered illness or subject to a pre-existing-condition waiting period. Confirm three things before scheduling: (1) your hospital and surgeon are HMO-accredited, (2) the procedure is approved under your plan, and (3) what balance, if any, you'll shoulder beyond your limit. PhilHealth is usually applied first, then your HMO covers the remaining eligible amount up to your limit.

Where to Get Surgery

Myoma and hysterectomy surgery is performed by OB-GYNs at hospitals nationwide — from major government medical centers to private tertiary hospitals. Your options generally fall into three groups:

• Government tertiary hospitals (e.g., Philippine General Hospital in Manila, Jose Fabella Memorial Hospital, regional and provincial medical centers): lowest out-of-pocket cost for ward patients via PhilHealth + Malasakit Center, but longer waits for elective slots.
• Private tertiary hospitals in Metro Manila, Cebu, Davao, and other cities: faster scheduling, laparoscopic options, and a choice of sub-specialist surgeons, at full private rates.
• Specialty women's and OB-GYN centers: focused gynecologic care, often with minimally invasive expertise.

The right choice balances your budget, urgency, fertility goals, and whether you qualify for charity assistance. It's wise to get more than one consultation, since the recommended procedure (and therefore the cost) can differ between surgeons.

To compare gynecology clinics and hospitals near you, find a clinic on ClinicFinderPH and review locations, specialties, and contact details before booking a consultation.

Frequently Asked Questions

How much does hysterectomy surgery cost in the Philippines?

A total hysterectomy in a private Philippine hospital costs roughly ₱90,000 to ₱185,000 in 2026, depending on the approach (abdominal, vaginal, or laparoscopic), the hospital tier, and the surgeon's fee. Laparoscopic and minimally invasive hysterectomies sit at the higher end (₱120,000-₱185,000+). PhilHealth covers a fixed case rate — about ₱45,000 for an abdominal hysterectomy and up to roughly ₱90,000 for a vaginal hysterectomy — which is deducted from your bill. In government hospitals, ward patients can pay close to ₱0 after PhilHealth and charity assistance.

How much does myoma surgery (myomectomy) cost?

Myomectomy costs roughly ₱50,000 to ₱200,000 in private hospitals. Open abdominal myomectomy is the most affordable; laparoscopic myomectomy is the most expensive because of the specialized equipment, typically ₱90,000-₱200,000. PhilHealth's case rate is about ₱45,000 for the abdominal approach and around ₱53,000 for the vaginal approach. Government hospitals perform myomectomy at heavily subsidized rates.

Does PhilHealth cover myoma and hysterectomy surgery?

Yes. Both are covered by fixed PhilHealth case rates that are automatically deducted from your hospital bill at any accredited facility — you don't apply in advance. Per PhilHealth Circular 2024-0037, the rates are approximately ₱45,000 for abdominal hysterectomy/myomectomy, ₱53,000 for vaginal myomectomy, and up to ₱90,000 for vaginal hysterectomy. Verify the exact current figure for your procedure code through PhilHealth's case rate search or the hospital's PhilHealth desk.

Is myomectomy or hysterectomy better?

It depends on your goals. A myomectomy removes only the fibroids and preserves the uterus, so it's the choice if you want to keep the option of pregnancy. A hysterectomy removes the uterus entirely — it permanently cures fibroids (they can't come back) but ends fertility. Younger women wanting children usually choose myomectomy; women who have completed their family or have severe, recurrent fibroids often choose hysterectomy. Your OB-GYN will recommend based on your age, symptoms, and the size and number of fibroids.

How much does laparoscopic (minimally invasive) myoma surgery cost?

Laparoscopic myomectomy or hysterectomy is the most expensive approach, typically adding ₱40,000 to ₱90,000 or more over the open method, with all-in private costs often reaching ₱120,000-₱200,000. The higher price buys smaller scars, less pain, and faster recovery (often 1-2 weeks versus 4-6 weeks for open surgery). It's mainly available in larger private hospitals with trained laparoscopic gynecologists. PhilHealth still applies its case rate, but the total bill it's deducted from is higher.

Is myoma surgery free in government hospitals?

It can be very close to free. Government hospitals charge heavily subsidized rates, and for ward (basic accommodation) patients, the PhilHealth case rate combined with charity assistance through the hospital's Malasakit Center (a one-stop subsidy from DOH, PhilHealth, DSWD, and PCSO) can reduce the out-of-pocket cost to near ₱0. The main trade-off is the waiting time — elective fibroid surgery may require a wait of several weeks to months for an operating slot.

What pre-operative tests do I need before fibroid surgery?

You'll typically need pre-operative blood work (CBC, blood typing, clotting tests, and chemistry), a pelvic ultrasound to map the fibroids, and medical clearances (cardiac and others as needed). These blood tests and imaging are charged separately before the operation and are usually part of your admission workup. Your surgeon may order additional tests depending on your age and health.

How long is recovery after myoma or hysterectomy surgery?

Recovery depends on the approach. Open abdominal surgery requires about 4-6 weeks of recovery, with a hospital stay of 2-4 days. Vaginal and laparoscopic procedures are less invasive, with hospital stays of 1-2 days and recovery often as short as 1-2 weeks. Your surgeon will give specific restrictions on lifting, work, and activity based on your operation and how your case went.

Conclusion

Myoma and hysterectomy surgery in the Philippines costs roughly ₱50,000-₱200,000 in private hospitals in 2026, but your actual out-of-pocket amount can be far lower. PhilHealth covers fixed case rates of about ₱45,000-₱90,000 depending on the exact procedure, deducted straight from your bill, and government hospitals can bring the cost for ward patients down to near ₱0 through PhilHealth plus Malasakit Center assistance. An HMO plan from your employer typically covers the procedure too, on top of PhilHealth.

The biggest cost drivers are the surgical approach (open is cheapest, laparoscopic the priciest), the hospital tier, and the surgeon's fee — so it pays to get more than one consultation and to confirm exactly what PhilHealth and your HMO will shoulder before scheduling.

To understand your coverage in detail, read our PhilHealth benefits and coverage guide, and if your care includes pregnancy or childbirth planning, our PhilHealth maternity benefits guide. For pre-operative imaging costs, see our ultrasound cost guide.

Ready to compare gynecology clinics and hospitals? Find a clinic on ClinicFinderPH to review locations, specialties, and contact details near you.