Cholecystectomy Cost in Texas (2026): Average Prices & What You'll Pay
What does a cholecystectomy cost in Texas?
For a commercially insured patient, a cholecystectomy in Texas typically runs $2,977–$7,549 once facility and physician fees are combined. The median reported facility price across 199 hospitals is $2,032. The figures draw on CMS fee schedules and hospital price transparency data published under federal law.
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Where cholecystectomy costs vary in Texas
Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers, imaging centers, and other facilities (colored by type). Click any pin for facility name and estimated cost range.
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Gallbladder surgery can cost far more at a hospital than a surgery center - and four to five bills follow either way.
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Cheapest Cholecystectomy Providers in Texas
Based on declared cash/self-pay prices from CMS hospital price transparency files.
| # | Facility | City | Price | vs Median |
|---|---|---|---|---|
| 1 | Nacogdoches Memorial Hospital | Nacogdoches, TX | $725 | -$1,307 |
| 2 | Santa Rosa Emergency Center - Alon | San Antonio, TX | $747 | -$1,285 |
| 3 | Santa Rosa Hospital - Westover Hills | San Antonio, TX | $747 | -$1,285 |
| 4 | Good Shepherd Medical Center - Longview | Longview, TX | $758 | -$1,274 |
| 5 | CHRISTUS Good Shepherd Hospital - Northpark | Longview, TX | $758 | -$1,274 |
| 6 | Good Shepherd Medical Center - Marshall | Marshall, TX | $758 | -$1,274 |
| 7 | Santa Rosa Hospital - New Braunfels | New Braunfels, TX | $764 | -$1,268 |
| 8 | Santa Rosa Emergency Center - Creekside | New Braunfels, TX | $764 | -$1,268 |
Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.
Quick take
- Nacogdoches Memorial Hospital is the lowest-cost option at $725 - $1,307 below the state median, just by choosing where you go.
- Ask for the cash price if your deductible isn't met - the median cash price here is $2,667, and it's often lower than what insurance pays before your deductible is satisfied.
- Ask whether this procedure can be done at a freestanding ambulatory surgical center - they're typically 30-60% cheaper than a hospital for identical care, and most aren't in this hospital-only dataset.
How where you go changes what you pay for cholecystectomy
The same cholecystectomy bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.
- Facility fee $99–$47,196
- Professional fee $980–$5,380
Estimated from CMS fee schedules + commercial rate multipliers
- Facility fee $1–$47,196
- Professional fee $980–$5,380
Estimated from CMS fee schedules + commercial rate multipliers
Texas is the largest commercial hospital market in the country by revenue. HCA, Tenet, and Community Health Systems are significant for-profit players across the state. Dallas-Fort Worth, Houston, and San Antonio have genuine multi-system competition that creates real price variation. Rural Texas - particularly West Texas and the Panhandle - has extensive critical access hospital coverage where pricing differs substantially from urban PPS hospitals. Laparoscopic cholecystectomy (gallbladder removal) is one of the most common ambulatory surgeries in the US, and facility type is the single biggest cost lever - ambulatory surgery centers charge 40–60% less than hospital outpatient departments for identical outcomes. Most commercial payers require prior authorization, and the surgeon and anesthesiologist bill separately from the facility, so confirming all three providers are in-network prevents unexpected out-of-network charges.
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Why prices vary - and what it means for your coverage
A small number of hospitals (10) report prices above $12,775, including Uvalde Memorial Hospital at $24,576, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Setting matters too: the median outpatient price is $2,069 versus $1,651 inpatient, so where a procedure happens often matters more than which hospital you pick.
On top of the facility price, your actual bill depends on your deductible, your out-of-pocket maximum, and whether every provider involved - not just the facility - is in-network.
| Your situation | Estimated out-of-pocket |
|---|---|
| Deductible not yet met | ~$4,364 |
| Deductible met - 20% coinsurance | ~$873 |
| Out-of-network provider | $9,601+ |
Frequently asked questions: cholecystectomy costs in Texas
How much does a cholecystectomy cost in Texas?
The typical insurer-negotiated rate is $982, with most facilities between $655 and $1,713 (based on 208 hospitals reporting negotiated rates). Full market pricing - including cash rates, gross charges, and outlier facilities - ranges more widely, from $330 to $77,853 across all 199 Texas hospitals that publish prices. What you pay depends on the facility, your insurance, and whether you have met your deductible.
Where is the cheapest place to get a cholecystectomy in Texas?
Based on declared prices, the lowest-cost facility in our Texas data is Cuero Regional Hospital in Cuero at about $1. By metro, San Antonio has the lowest median ($2,159). Freestanding ambulatory surgery and imaging centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.
Why is a cholecystectomy so much cheaper at some Texas hospitals?
Prices vary up to 235.9× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In Texas, the median cash (self-pay) price is $2,667 versus a median negotiated rate of $982 - about 2.7× higher. Asking for the cash price or your insurer's negotiated rate is often the single biggest lever on what you pay.
How much will I actually pay out of pocket for a cholecystectomy in Texas?
Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.
Before you book
- How to read your medical bill
- How to stop medical bill problems before they start
- How to negotiate your medical bills
- Allowed amount vs negotiated rate: what your EOB is really saying
- How to read a Medicare Summary Notice
Other procedures in Texas
Cholecystectomy, elsewhere
- Cholecystectomy costs across all states
- Cholecystectomy cost in Amarillo, TX
- Cholecystectomy cost in Austin, TX
- Cholecystectomy cost in Beaumont, TX
- Cholecystectomy cost in Brownsville, TX
- Cholecystectomy cost in College Station, TX
- Cholecystectomy cost in Corpus Christi, TX
- Oklahoma
- Louisiana
- Arkansas
- New Mexico
What matters before you schedule
ASC vs. hospital
Hospital outpatient departments typically charge 2-4x more than ASCs or independent centers for the same cholecystectomy - same outcome, very different bill. Call ahead and ask for a self-pay or cash quote at each setting you're considering.
What's on your bill
A cholecystectomy involves multiple providers who bill separately - typically Facility Fee, Surgeon Professional Fee, Anesthesia. Check each line item against your Explanation of Benefits to catch billing errors.
Cost by type
Which type your doctor orders for this cholecystectomy changes the billing code, and what you pay. For example: A recognized variation that can change the billing code and what you owe.
What to ask before you book
Get the CPT code from your doctor, confirm every provider involved (not just the facility) is in-network, ask for the cash-pay rate if you're uninsured or haven't met your deductible, and request a written estimate for cholecystectomy before you schedule.
CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).
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About the Author
John Caruso, FSA, MAAA
Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.
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