What is a hysteroscopy?
Hysteroscopies are primarily used to diagnose and treat the causes of abnormal uterine bleeding. This procedure allows your doctor to look at the inside of your uterus with a tool called a hysteroscope.
A hysteroscope is a thin, lighted tube that a surgeon inserts through your vagina to examine your cervix and the inside of your uterus.
Hysteroscopies can be a part of the diagnostic process, as well as the treatment process.
Diagnostic hysteroscopy
Diagnostic hysteroscopy helps to identify any irregularities in the structure of your uterus that may be causing abnormal bleeding.
Hysteroscopy can confirm results from other tests like ultrasound or HSG tests. HSG is an X-ray dye test used to check whether your fallopian tubes are blocked. Blocked fallopian tubes may cause fertility issues.
Operative hysteroscopy
Operative hysteroscopy helps treat abnormalities detected during diagnostic hysteroscopy. Your doctor may perform a diagnostic and operative hysteroscopy at the same time, avoiding the need for a second surgery.
During operative hysteroscopy, your surgeon will use a device to remove abnormalities that may be causing abnormal uterine bleeding.
Why should I get a hysteroscopy?
Hysteroscopy is primarily used to identify and treat conditions that cause abnormal uterine bleeding, heavy menstrual bleeding, irregular spotting between periods, and bleeding after menopause.
Your doctor may perform hysteroscopy to diagnose and correct the following uterine conditions:
Polyps and fibroids:
Hysteroscopy is used to find and remove these uterine structural abnormalities.
Surgical removal of a polyp is called a hysteroscopy polypectomy.
Surgical removal of a fibroid is called a hysteroscopic myomectomy.
Adhesions:
Also known as Asherman’s syndrome, uterine adhesions are bands of scar tissue that can form in your uterus and may lead to changes in menstrual flow and cause infertility.
Hysteroscopy can help your doctor locate and remove the adhesions.
Septums:
Hysteroscopy can help determine whether you have a uterine septum, a malformation (defect) of the uterus that’s present from birth.
Hysteroscopy may also be used to:
Diagnose the cause of repeated miscarriages or fertility problems.
Locate an intrauterine device (IUD).
Diagnose and remove placental tissue after birth.
Disclaimer: The information provided is for general knowledge only and should not be considered a substitute for professional medical advice.If you're experiencing any of these symptoms, request an appointment with our specialists at Thomson Medical for an accurate diagnosis and tailored treatment plan.
What is the cost of a hysteroscopy in Singapore?
Costs for a hysteroscopy in Singapore vary significantly depending on whether you choose a public or private hospital.
Hysteroscopies are under TOSP codes SI700U, SI701U, and SI725U.
Day surgery
A hysteroscopy done for day surgery will usually cost between SGD 696 and SGD 8,326, depending on which TOSP code your procedure falls under.
It is best to discuss directly with your healthcare providers what procedure you will be undergoing and the TOSP codes it is under to figure out the most accurate pricing.
Inpatient surgery
For inpatient surgeries, the costs will range between SGD 863 and SGD 10,905 depending on the procedure.
MOH provided a breakdown of the fees for private hospitals and clinics as per SI700U – Uterus/Cervix, Hysteroscopy, Diagnostic (With General Anaesthesia):
Breakdown of Fees
However, additional charges may arise from expenses such as pre-surgery consultations, imaging tests like X-rays or CT scans, medications, and post-surgery follow-up appointments.
This article was written in June 2025. Hence, prices for hysteroscopy may have changed since then. For more accurate benchmarking prices, please visit the MOH website and discuss with your doctor for more details.
Are there any subsidies for hysteroscopy?
Yes, there are several schemes in Singapore that can help offset the total costs of hysteroscopy.
These include MediSave, MediShield Life, and Integrated Shield Plans. Each offers different levels of coverage for your hysteroscopy, depending on your eligibility and insurance arrangements.
MediSave
MediSave is a national medical savings scheme that allows Singaporean citizens and permanent residents to use their savings for hospitalisation expenses.
For hospitalisation, you can use up to SGD 1,130 per day for the first two days and SGD 400 per day for subsequent days for inpatient hospital charges. These charges include daily ward changes, treatment fees, investigations, and medications.
For day surgeries, you can use up to SGD 830 per day for hospital charges for day surgery, which include daily ward charges, daily treatment fees, investigations, and medicines.
For example, according to the CPF website, SI700U is classified under 1C on the Table of Surgical Procedures (TOSP). Hence, the withdrawal limit for hysteroscopy is SGD 490.
However, other hysteroscopy procedures may be under different TOSP codes, so it is best to double-check which TOSP code your procedure is classified under to see a more accurate representation of the withdrawal limit.
This article was written in June 2025. Hysteroscopy costs may therefore have changed since then. For more accurate benchmarking prices, please visit the CPF website for more details.
MediShield Life
MediShield Life is a basic health insurance plan for all Singaporeans and PRs, designed to help pay for large hospital bills and selected costly outpatient treatments.
It will cover a portion of the surgical and hospitalisation costs for hysteroscopy, and similar to MediSave, there are claim limits.
For hospitalisation, the claim limits are SGD 830 per day for normal wards and SGD 5,140 for intensive care unit (ICU) wards, which include an additional SGD 800 per day for the first two inpatient days.
For surgical procedures, MediShield Life also follows the TOSP, meaning that there will be a claim limit for colposcopies under SI700U at SGD 490.
This article was written in June 2025. Hence, prices for hysteroscopy may have changed since then. For more accurate benchmarking prices, please visit the CPF website for more details.
Integrated Shield Plans
Integrated Shield Plans (IPs) are private insurance policies that offer additional coverage beyond what is provided by MediShield Life. They can cover a larger portion of your hospital bill, especially if you opt for private hospitals or higher-class wards.
Many IPs also offer “as-charged” benefits, meaning they cover the actual bill amount, subject to policy terms and annual limits.
Coverage details and claim limits vary depending on the insurer, the specific plan and the additional riders purchased.
If you are curious how much you can claim from your IPs for your hysteroscopy, it is best to talk to your insurance provider directly to discuss the details of your plan. For those under Prudential, please contact us via the Prudential medical concierge form if you have any further questions.
What factors affect the cost of my hysteroscopy?
Several key factors influence the final bill for hysteroscopy in Singapore:
Pre-surgery expenses
Initial consultation fees
Diagnostic imaging tests
Pre-operative assessments
Specialist referrals
Surgery-related costs
Surgical fees and anaesthesias
Type of surgery
Public hospital vs private hospital
Complexity of surgery
Post-surgery expenses
Follow-up consultations
Gynaecologist at Thomson Medical
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Dr Ryan Lee is an obstetrician and gynaecologist at Thomson Medical. Dr Ryan’s practice encompasses general gynaecology and high-risk obstetrics with a special interest in maternal medicine.
Case Study 1: Private Hospital with Integrated Shield Plan
Profile: A 42-year-old female requiring a hysteroscopy (day surgery) at a private hospital covered by Integrated Shield Plan.
| Estimated total bill | Insurance coverage | Final out-of-pocket expenses |
|---|---|---|
| SGD 696 and SGD 8,326* | Since 2019, the Ministry of Health (MOH) has mandated that all new IP riders include a minimum 5% co-payment—to encourage prudent use of healthcare services and avoid overconsumption.
| The patient would need to pay from SGD 35 to SGD 417, which can usually be covered either partially or fully by MediSave. |
Please note that for the most accurate estimate of insurance coverage and out-of-pocket expenses, you should consult their insurance provider directly, as coverage details vary by plan and insurer.
*For the most accurate pricing, please contact your healthcare provider directly to discuss with them the potential costs for the procedure.
Case Study 2: Private Hospital with Integrated Shield Plan
Profile: A 52-year-old female requiring a hysteroscopy (inpatient) at a private hospital covered by Integrated Shield Plan.
| Estimated total bill | Insurance coverage | Final out-of-pocket expenses |
|---|---|---|
| SGD 863 and SGD 10,905* | Since 2019, the Ministry of Health (MOH) has mandated that all new IP riders include a minimum 5% co-payment—to encourage prudent use of healthcare services and avoid overconsumption.
| The patient would need to pay from SGD 44 to SGD 546, which can usually be covered either partially or fully by MediSave. |
Please note that for the most accurate estimate of insurance coverage and out-of-pocket expenses, you should consult their insurance provider directly, as coverage details vary by plan and insurer.
*For the most accurate pricing, please contact your healthcare provider directly to discuss with them the potential costs for the procedure.
*This article was written in June 2025. Prices may have changed since then. For more accurate benchmarking prices, please discuss with your doctor what specific procedure you may need and visit the MOH website under the relevant TOSP code for more details.
How do I process my insurance claims?
To process an insurance claim at a hospital in Singapore, you typically need to inform the hospital staff of your intent to claim, gather required documents like final bills and receipts, and submit the claim to your insurance provider through their designated channels (online portal, email, etc.).
For some insurance policies, the hospital may handle the claims process directly, especially for cashless claims. Here's a more detailed breakdown:
Understand your coverage:
Before you schedule your treatment, meet your financial advisor to discuss the costs and coverage available for you should you undergo a hysteroscopy.
Inform the hospital:
When you are admitted to the hospital, inform the hospital staff that you wish to make an insurance claim. They may guide you through the necessary paperwork and forms.
Gather the required documents:
Ensure you have all the original, final bills and receipts for all treatments, including hospital stays, procedures, and medications.
If available, gather any relevant medical reports, diagnostic test results, and discharge summaries.
If you used your MediSave account for payment, you'll need a statement showing the Hospital Registration Number (HRN).
You may need to download and complete a claim form from your insurance provider's website.
Submit the claim:
Many insurers offer different portals for submitting claims, including online portals, mobile apps, email, or direct paper submission to your financial advisor.
If the hospital handles the claim directly, they will submit it on your behalf.
Follow up and track progress:
You should receive an acknowledgement of your claim submission.
Check the status of your claim through your insurer's online portal or app.
Do note that claim processing typically takes about 2 to 3 months from the date of submission (e-filing).
Some complex cases may take longer, especially if additional documents or clarifications are required.
If you don't receive updates after 3 months or have more questions, contact your insurer or the hospital for assistance.
At Thomson Medical, the insurance claims process is streamlined for your convenience.
The hospital provides e-filing services, submitting claims directly to MediSave, MediShield Life, and Integrated Shield Plan providers on your behalf.
This approach reduces paperwork and ensures claims are processed efficiently, allowing you to focus on recovery.
FAQ
Is a hysteroscopy very painful?
Having a hysteroscopy can be uncomfortable and may feel like period pain. Taking ibuprofen or paracetamol 1 hour before the procedure can help. However, for many people, a hysteroscopy can be very painful.
What is a hysteroscopy done for?
A hysteroscopy can be used to investigate symptoms or problems, such as heavy periods, unusual vaginal bleeding, postmenopausal bleeding, pelvic pain, repeated miscarriages, or difficulty getting pregnant. It can also diagnose conditions such as fibroids and polyps, which are non-cancerous growths in the womb.
What are the side effects of a hysteroscopy?
You may have cramping and vaginal bleeding for 1 or 2 days after the procedure. Report fever, severe abdominal pain, or heavy vaginal bleeding or discharge. You may have gas in the digestive tract and pains from the gas given during the procedure. These symptoms can last for about 24 hours.
How many hours does a hysteroscopy take?
A hysteroscopy may take 15 minutes to an hour, depending on what is done during the procedure. The medicines you were given may make you drowsy for a while. After the procedure, you should make arrangements for someone to drive you home.
What should I avoid after a hysteroscopy?
People recovering from a hysterectomy are often advised to avoid douching, sexual intercourse, or inserting anything into their vagina (like tampons) for two weeks following the procedure. You may be advised to avoid baths, swimming, and hot tubs during your recovery.
What not to do before a hysteroscopy?
You may be asked not to douche, use tampons, or use vaginal medicines for 24 hours before the hysteroscopy.
Disclaimer: The information provided is intended for general guidance only and should not be considered medical advice. For personalised recommendations and tailored advice on pricing and services, contact us at Thomson Medical today.
For more information, contact us:
Thomson Fertility Centre
- Paragon: 6252 7766
Thomson Specialists (Women's Health)
Thomson Women's Clinic
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