Gallbladder surgery is a common surgical procedure performed to remove the gallbladder. When the organ is sick or inflamed and painful, it is frequently advised. Gallbladder surgery is normal, but insurance coverage can affect the cost. Gallbladder surgery without insurance costs $12,700 in the US. Depending on the surgery and location, it can cost $6,000 to $22,000. Insurance can lower the cost, however it depends on the plan, deductibles, and copays. This article will tell you How much does gallbladder surgery cost with insurance. This article will also discuses surgical procedure, insurance coverage, and out-of-pocket expenses. In addition, we will provide gallbladder surgery cost reduction and insurance guidance.
How much does gallbladder surgery cost with insurance?
The average gallbladder surgery cost with insurance ranges from 1000$ to 2000$ depending on your insurance coverage and your policy.
Gallbladder surgery is very common and covered by Medicare and Medicaid. The procedure’s cost depends on your insurance. Check with your insurance provider before the treatment to determine the cost.
Generally speaking, if you have a traditional health insurance plan, the procedure will be partially covered. Your insurance may pay the hospital stay, anesthesia, and other operation charges. To understand your insurance policy’s coverage, read it carefully.
Medicare explains that the gallbladder surgery cost a person can expect to pay out of pocket depends on the specific procedure and where the surgery takes place:
Type | Ambulatory surgical center (ASC) | Hospital-based outpatient department (HOPD) |
Cholecystectomy by laparoscopy | $608 | $1,169 |
Cholecystectomy done laparoscopically with cholangiography | $620 | $1,181 |
laparoscopic cholecystectomy and common duct exploration | $702 | $1,263 |
Those who do not require hospitalization for longer than 24 hours can have their surgical procedures done at an ASC. An ambulatory care facility, such as a surgical center, may be a part of a hospital’s HOPD.
How Much Does Medicare Cover for Gallbladder Removal?
Medicare lists the following breakdowns of costs associated with gallbladder removal.
Cholecystectomy via laparoscopy
Medicare breaks down the cost for laparoscopic cholecystectomy:
ASC | HOPD | |
Total price | $3,044 | $5,850 |
Doctor’s fees | $683 | $683 |
Facility charge | $2,361 | $5,167 |
Medicare pays for | $2,435 | $4,681 |
Laparoscopic cholecystectomy with cholangiography
For a laparoscopic cholecystectomy with cholangiography, Medicare provides a detailed breakdown of costs as follows:
ASC | HOPD | |
Total price | $3,105 | $5,911 |
Doctor’s fees | $744 | $744 |
Facility charge | $2,361 | $5,167 |
Medicare pays for | $2,483 | $4,729 |
Common duct exploration during laparoscopic cholecystectomy
Medicare provides a detailed breakdown of laparoscopic cholecystectomy with common duct exploration costs:
ASC | HOPD | |
Total price | $3,515 | $6,321 |
Doctor’s fees | $1,154 | $1,154 |
Facility charge | $2,361 | $5,167 |
Medicare pays for | $2,811 | $5,057 |
Does insurance cover gallbladder surgery?
Insurance covers surgery to treat gallstones, which are hardened deposits of digestive fluid that can form in the gallbladder. If these stones cause pain, infection, or blockages of the bile ducts, surgery may be recommended and covered by insurance. Most insurance plans cover gallbladder surgery to treat the following:
There are several medically necessary conditions for gallbladder surgery, including:
- Gallstones
- Cholecystitis
- Biliary colic
- Choledocholithiasis
- Gallbladder cancer
Finally, some insurance plans may only partially cover gallbladder surgery.
For example, Your insurance may cover the operation but not pre- or post-operative care. Determine exactly what your coverage includes before proceeding with the procedure.
It’s also important to note that some insurance plans do not cover gallbladder surgery if it is considered elective or for cosmetic purposes. This means that it may not be covered if you are getting the surgery for a non-medical reason, such as weight loss.
How much does Cigna gallbladder removal cost?
Are you considering gallbladder removal? Cigna is a health insurance provider that may help cover this procedure’s costs.
Gallbladder ectomy costs vary based on the procedure. For example, a typical open cholecystectomy costs $16,000–$20,000. However, a laparoscopic cholecystectomy (keyhole surgery) can cost $10,000 to $15,000. Cigna normally covers 80% of the procedure’s cost, leaving you with some out-of-pocket payments.
When considering gallbladder removal, it’s crucial to understand the dangers.
There are dangers with this surgery, but it’s usually safe and effective. These may include infection, bleeding, and the potential for the gallbladder to become blocked. Discussing these risks with your doctor before undergoing the procedure is important.
How much does gallbladder surgery cost florida?
Are you looking for gallbladder surgery costs? The cost of gallbladder surgery in Florida ranges from $6,000 to $15,000. This cost includes the surgery itself, anaesthesia fees, hospital fees, and any other associated costs.
Florida endoscopic gallbladder ectomy costs $4,792. Laparoscopic gallbladder removal in Florida costs $8,266–$12,899, according to MDsave. MDsave lets high-deductible health plan holders and uninsured people compare prices and save.
Gallbladder surgery in the US costs $3,044 to $6,321, depending on kind and other factors. Several factors can affect the surgery’s final cost and patient out-of-pocket fees.
How risky is gallbladder surgery?
Gallbladder surgery is a serious operation with risks. Although gallbladder surgery risks are low, they can still be serious. Gallbladder surgery’s main hazards are bleeding, infection, and anaesthetic responses. Damage to the bile ducts can cause bile leakage.
Surgery is recommended when alternative therapies fail or the gallbladder is inflamed. The severity of the problem and the patient’s condition determines the procedure’s hazards. Diabetes, heart, and liver problems increase surgery complications.
Gallbladder surgery is safer if you are prepared.
Discuss procedure risks, benefits, and alternatives with your doctor. Your doctor will assess your health before recommending surgery. Follow your doctor’s pre- and post-op advice.
How much does gallbladder surgery cost out of pocket in various states?
STATE | OUTPATIENT HOSPITALAVG PRICE | SURGERY CENTERAVG PRICE |
Alabama | $7,446 | $4,364 |
Alaska | $10,076 | $5,905 |
Arizona | $8,427 | $4,939 |
California | $9,248 | $5,420 |
Colorado | $8,140 | $4,770 |
Florida | $8,177 | $4,792 |
Georgia | $7,664 | $4,491 |
Illinois | $8,548 | $5,010 |
Kentucky | $7,510 | $4,401 |
Louisiana | $8,334 | $4,884 |
Maine | $7,529 | $4,412 |
Mississippi | $7,574 | $4,439 |
Nevada | $8,040 | $4,712 |
New Hampshire | $8,065 | $4,726 |
New Jersey | $9,770 | $5,726 |
New Mexico | $7,424 | $4,351 |
New York | $9,193 | $5,388 |
North Carolina | $7,379 | $4,324 |
Ohio | $7,672 | $4,496 |
Pennsylvania | $8,642 | $5,065 |
South Carolina | $7,863 | $4,608 |
South Dakota | $7,326 | $4,293 |
Tennessee | $7,389 | $4,330 |
Texas | $7,985 | $4,680 |
Virginia | $7,947 | $4,657 |
Washington | $8,865 | $5,195 |