Chi Phí Cắt túi mật Là Bao Nhiêu?
Cholecystectomy is a surgical procedure to remove the gallbladder, typically due to gallstones causing pain or infection. It is most commonly performed laparoscopically through small incisions, allowing for faster recovery.
Không Bảo Hiểm
$15,000
Có Bảo Hiểm
$2,500
Medicare
$2,000
Trung Bình Quốc Gia
$6,500
By Elena Bellini, MPH, Health Policy & Management · Last reviewed 2026-04-21 ·
Sources: CMS Medicare Provider Utilization and Payment Data 2025 · Methodology · Editorial standards Tổng quan
Cholecystectomy is the surgical removal of the gallbladder, most often performed for symptomatic gallstones, acute cholecystitis, or gallstone pancreatitis. The vast majority of cases today are laparoscopic — four small incisions, a camera, and specialized instruments — and most patients go home the same day or after one overnight stay. Open cholecystectomy is reserved for complicated cases where laparoscopic dissection is unsafe. Surgery runs 45 to 90 minutes under general anesthesia. An intraoperative cholangiogram (X-ray of the bile ducts) may be performed and is billed separately. Charges split across the surgeon, facility (hospital inpatient, hospital outpatient, or ASC), anesthesia, and any imaging or ERCP performed pre- or intra-operatively. Conversion from laparoscopic to open surgery, or the need for a surgical drain, adds cost. Commercial insurers usually require prior authorization for elective cholecystectomy.
Yếu tố ảnh hưởng đến chi phí
- Elective vs emergent: a planned outpatient laparoscopic cholecystectomy is much cheaper than an emergent surgery following an ER admission.
- Site of service: ambulatory surgery centers and hospital outpatient settings are cheaper than inpatient admission for uncomplicated cases.
- Laparoscopic vs open: open surgery is longer, has a longer stay, and costs more than a standard laparoscopic case.
- Intraoperative cholangiogram: this additional imaging is billed as a separate CPT code and adds facility and radiology charges.
- Surgical drain or complication: retained stones, bile leak, or infection can trigger ERCP or a return to the OR, adding substantial cost.
- Length of stay: each inpatient night adds room, nursing, and ancillary charges above the baseline surgical total.
Cách Tiết Kiệm
- Schedule elective cholecystectomy at an ambulatory surgery center if your health status makes you an appropriate outpatient candidate.
- Confirm prior authorization is on file with your commercial insurer before surgery.
- Verify that the surgeon, anesthesiologist, and facility are all in-network to avoid out-of-network charges.
- Ask for a bundled Good Faith Estimate if self-pay; negotiate any cash-pay surgical package.
- Time elective surgery after your deductible is met within the plan year to maximize insurance coverage.
- Use your HSA or FSA for deductible and coinsurance with pre-tax dollars.
Ghi chú về bảo hiểm và phạm vi bảo hiểm
Medicare Part A covers inpatient cholecystectomy; Medicare Part B covers the surgeon, anesthesia, and outpatient procedures. Commercial plans cover medically necessary gallbladder removal but usually require prior authorization for elective cases. Imaging studies (ultrasound, HIDA scan) are typically required before approval. Patients owe deductible and coinsurance; emergent surgery can still involve an in-network facility with out-of-network ancillary providers, though the No Surprises Act provides protections. Medicare Advantage plans may impose additional review. Postoperative ERCP for retained stones is billed as a separate procedure.
Data sources for this page
Cost figures on this page are compiled from the following sources, triangulated per the rules in our methodology:
- CMS Medicare Provider Utilization and Payment Data 2025 — primary CMS reference used as the Medicare-rate anchor.
- Hospital Price Transparency machine-readable files (HPT MRFs) from a sample of major hospitals in each state, per the federal Hospital Price Transparency rule.
- Transparency in Coverage payer in-network rate files for commercial-rate cross-validation.
- State All-Payer Claims Database (APCD) summaries where published (Colorado, New Hampshire, Massachusetts, Minnesota, Maine, Utah, Vermont, Rhode Island, Washington, Oregon).
Last reviewed 2026-04-21. See editorial standards for our fact-checking process and correction policy.
Range: $10,800 to $20,700 · 50 states shown
Chi Phí Theo Tiểu Bang
| Tiểu Bang | Không Bảo Hiểm | Có Bảo Hiểm | Medicare |
|---|---|---|---|
| Mississippi | $10,800 | $1,800 | $1,450 |
| Arkansas | $11,300 | $1,900 | $1,500 |
| West Virginia | $11,300 | $1,900 | $1,500 |
| Alabama | $11,700 | $1,950 | $1,550 |
| Oklahoma | $11,700 | $1,950 | $1,550 |
| Kentucky | $12,800 | $2,150 | $1,700 |
| Louisiana | $12,900 | $2,150 | $1,700 |
| Iowa | $13,200 | $2,200 | $1,750 |
| New Mexico | $13,200 | $2,200 | $1,750 |
| South Carolina | $13,200 | $2,200 | $1,750 |
| South Dakota | $13,200 | $2,200 | $1,750 |
| Kansas | $13,400 | $2,250 | $1,800 |
| North Dakota | $13,400 | $2,250 | $1,800 |
| Idaho | $13,500 | $2,250 | $1,800 |
| Nebraska | $13,500 | $2,250 | $1,800 |
| Tennessee | $13,500 | $2,250 | $1,800 |
| Indiana | $14,000 | $2,350 | $1,850 |
| Missouri | $14,000 | $2,350 | $1,850 |
| Utah | $14,000 | $2,350 | $1,850 |
| Wyoming | $14,000 | $2,350 | $1,850 |
| Georgia | $14,100 | $2,350 | $1,900 |
| North Carolina | $14,100 | $2,350 | $1,900 |
| Michigan | $14,300 | $2,400 | $1,900 |
| Montana | $14,300 | $2,400 | $1,900 |
| Arizona | $14,700 | $2,450 | $1,950 |
| Ohio | $14,700 | $2,450 | $1,950 |
| Wisconsin | $14,700 | $2,450 | $1,950 |
| Maine | $14,900 | $2,500 | $2,000 |
| Texas | $14,900 | $2,500 | $2,000 |
| Florida | $15,200 | $2,550 | $2,000 |
| Minnesota | $15,200 | $2,550 | $2,000 |
| Illinois | $15,500 | $2,600 | $2,050 |
| Pennsylvania | $15,500 | $2,600 | $2,050 |
| Delaware | $15,600 | $2,600 | $2,100 |
| Nevada | $15,600 | $2,600 | $2,100 |
| Vermont | $15,600 | $2,600 | $2,100 |
| Virginia | $15,600 | $2,600 | $2,100 |
| Colorado | $15,900 | $2,650 | $2,100 |
| New Hampshire | $15,900 | $2,650 | $2,100 |
| Oregon | $15,900 | $2,650 | $2,100 |
| Maryland | $16,500 | $2,750 | $2,200 |
| Rhode Island | $16,700 | $2,800 | $2,200 |
| Washington | $16,700 | $2,800 | $2,200 |
| Connecticut | $18,000 | $3,000 | $2,400 |
| New Jersey | $18,000 | $3,000 | $2,400 |
| California | $19,800 | $3,300 | $2,650 |
| Massachusetts | $20,000 | $3,350 | $2,650 |
| Alaska | $20,300 | $3,400 | $2,700 |
| New York | $20,300 | $3,400 | $2,700 |
| Hawaii | $20,700 | $3,450 | $2,750 |
Câu Hỏi Thường Gặp
Chi phí cắt túi mật không bảo hiểm là bao nhiêu?
Chi phí trung bình của cắt túi mật không bảo hiểm tại Hoa Kỳ là $15,000. Chi phí khác nhau đáng kể theo tiểu bang.
Bảo hiểm có chi trả cắt túi mật không?
Hầu hết các gói bảo hiểm y tế chi trả cắt túi mật khi cần thiết về mặt y tế. Với bảo hiểm, chi phí tự trả trung bình là $2,500.
Medicare có chi trả cắt túi mật không?
Medicare Part B thường chi trả cắt túi mật khi có chỉ định của bác sĩ. Số tiền Medicare phê duyệt trung bình là $2,000.
Được xem xét bởi Elena Bellini · Xem xét lần cuối: 2026-04-21
Dữ liệu từ CMS Medicare Provider Utilization and Payment Data 2025. Cập nhật lần cuối: 2026-03-01. Thông tin này chỉ mang tính giáo dục và không phải lời khuyên y tế. Trang web này chỉ mang tính chất thông tin và không cấu thành lời khuyên y tế. Luôn tham khảo ý kiến chuyên gia y tế có trình độ.