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Cholecystectomy Cost in San Antonio, TX (2026): Average Prices & What You'll Pay

What does a cholecystectomy cost in San Antonio, TX?

The same cholecystectomy in San Antonio, TX might cost you $764 at one facility and $3,884 at another - the building you walk into drives the difference. The median cash price across 12 reporting hospitals is $2,159. These figures come straight from hospital price transparency files published under federal law.

Where cholecystectomy costs vary in San Antonio, TX

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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26+ people checked prices near them this month.

Cheapest Cholecystectomy Providers in San Antonio, TX

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs Median
1 PAM Specialty Hospital of San Antonio LLC San Antonio, TX $629 -$1,530
2 Santa Rosa Emergency Center - Creekside New Braunfels, TX $764 -$1,395
3 Santa Rosa Hospital - New Braunfels New Braunfels, TX $764 -$1,395
4 Santa Rosa Hospital - Alamo Heights San Antonio, TX $1,888 -$271
5 METHODIST HOSPITAL WESTOVER HILLS San Antonio, TX $2,159 +$0
6 New Braunfels ER & Hospital New Braunfels, TX $2,272 +$113
7 Children's Hospital San Antonio, TX $3,381 +$1,222
8 Medina County Hospital District Hondo, TX $4,638 +$2,479

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Quick take

  • PAM Specialty Hospital of San Antonio LLC is the lowest-cost option at $629 - $1,530 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 $4,638, and it's often lower than what insurance pays before your deductible is satisfied.
  • This dataset covers hospitals only - freestanding ASCs, which routinely run 30-60% cheaper for the same procedure, aren't included, so it's worth asking your doctor whether one is an option.

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 (2) report prices above $10,449, including THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT SAN ANTONIO at $10,720, 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 $2,216 versus $486 inpatient, so where a procedure happens often matters more than which hospital you pick.

None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.

Your situation Estimated out-of-pocket
Deductible not yet met ~$2,159
Deductible met - 20% coinsurance ~$432
Out-of-network provider $4,750+

Frequently asked questions: cholecystectomy costs in San Antonio, TX

How much does a cholecystectomy cost in San Antonio, TX?

Across 12 San Antonio, TX hospitals that publish prices, a cholecystectomy ranges from $343 to $10,720, with a median of $2,159. Most facilities fall between $764 and $3,884. 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 San Antonio, TX?

Based on declared prices, the lowest-cost facility in our San Antonio, TX data is Guadalupe Regional Medical Center in Seguin at about $343. By metro, New Braunfels has the lowest median ($764). 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 San Antonio, TX hospitals?

Prices vary up to 31.3× because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In San Antonio, TX, the median cash (self-pay) price is $4,638 versus a median negotiated rate of $747 - about 6.2× 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 San Antonio, TX?

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

Other procedures in San Antonio, TX

Cholecystectomy, elsewhere

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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Published June 12, 2026

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