Medicare Gallbladder Removal Coverage & Costs in 2025: What You Need to Know
Discover how Medicare covers gallbladder removal surgeries in 2025, including costs, deductibles, and coverage differences between Part A, Part B, and Medicare Advantage plans.
Medicare provides coverage for gallbladder removal surgery, known medically as cholecystectomy, when it is deemed necessary by a healthcare provider.
Coverage depends on the type of procedure, the location where it is performed, and whether inpatient hospital care is required.
Understanding Medicare Coverage for Gallbladder Removal
If your doctor recommends open gallbladder surgery, Medicare Part A typically covers the associated hospital costs. This surgery usually involves a hospital stay of about two days.
In 2025, after you meet the Part A deductible of $1,676, Medicare covers 100% of eligible inpatient expenses.
For laparoscopic gallbladder removal performed in an outpatient setting, such as a hospital outpatient department or ambulatory surgical center, Medicare Part B coverage applies. The Part B deductible for 2025 is $257, after which you are responsible for a 20% coinsurance on the covered services.
Out-of-pocket expenses vary based on the procedure type and location. Below are average national costs:
| Procedure | Cost at Ambulatory Surgical Center | Cost at Hospital Outpatient Department |
|---|---|---|
| Laparoscopic Cholecystectomy | $671 | $1,229 |
| Laparoscopic Cholecystectomy with Cholangiography | $682 | $1,240 |
| Laparoscopic Cholecystectomy with Common Duct Exploration | $1,128 | $1,852 |
If you are enrolled in a Medicare Advantage plan, coverage for gallbladder removal is typically included, but your out-of-pocket costs may differ depending on your specific plan and insurer.
It’s advisable to contact Medicare or your plan provider directly to clarify your coverage details and understand any potential out-of-pocket expenses tailored to your situation.
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