Phoenix M.
Google
Excellent Surgeons, Predatory & Deceptive Billing Practices - UTSW might have some of the most talented surgeons in Dallas—but the billing practices are deceptive, opaque, rigid, and patient-hostile.
I was scheduled for a 30‑minute, minimally invasive laparoscopic hernia repair (no mesh, outpatient, two tiny 2 cm reducible hernias). My consult was in April; surgery was scheduled for late July. Just two weeks before the procedure, UTSW texted me a cost estimate for $18,500.
They had coded it as a major open abdominal hernia repair with mesh under CPT 49591—a far more invasive and expensive procedure than what was actually planned. When I questioned this, I was told by the billing counselor over the surgeon’s department that UTSW has a blanket policy mandating this code for all hernia repairs—regardless of surgical approach, complexity, or setting. No exceptions. No flexibility.
This is a textbook example of upcoding—where a higher-cost procedure code is used in place of the one that matches the actual treatment performed—and patients are the ones who pay the price.
When I asked if the correct outpatient code (CPT 49650) could be used or if the procedure could be done at an ambulatory surgical center, I was told “UTSW doesn’t allow that.” My out-of-pocket cost with insurance was quoted at $6,566. Their “self-pay discount”? $11,700. The average cost for a similar insured outpatient procedure in Dallas is $2,500–$3,500.
The estimate arrived just weeks before surgery, giving me no time to shop around or plan. I’ve had to cancel the procedure and start over elsewhere—at great cost in time, money, and trust.
UTSW may be a respected clinical institution, but financially they operate like a monopoly—prioritizing billing over patient care and transparency. If you’re on a high-deductible plan or paying out of pocket, be prepared for inflated charges, rigid systems, and billing practices that raise serious ethical concerns. Read other reviews—this isn’t an isolated case.