CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: UT of Texas Southwestern University Hospital - William P. Clements Jr.

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,889
Cash Discount Price: $1,923
vs. Medicare Baseline: 0.31x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at UT of Texas Southwestern University Hospital - William P. Clements Jr. is $1,889. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,923. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.31x the Medicare baseline. Located in 6201 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$1,923

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,889

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$6,176.47

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $6,176.47 (100%)

Cash / Self-Pay: $1,923 (31%)

Insurance Median: $1,889 (31%)

Cash: $1,923 (31% of Medicare)

Ins. Median: $1,889 (31% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $6,176.47 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Molina	$532 - $6,126	9%
Parkland	$532 - $1,889	9%
UnitedHealthcare	$532 - $26,812	9%
Wellpoint	$532 - $6,126	9%
Aetna	$612 - $2,709	10%
Superior	$623 - $6,126	10%
Procare	$644 - $5,834	10%
Ambetter / Centene	$658	11%
Blue Cross Blue Shield	$676 - $21,355	11%
Humana	$676 - $6,068	11%
Healthfirst	$1,262	20%
Quiktrip	$1,448	23%
Coventry	$1,475	24%
Maestro Health/Fort Worth Firefighters	$1,490	24%
Rockwall County	$1,795	29%
United Options Nexus	$1,910 - $31,771	31%
Cigna	$2,258	37%
Phcs	$2,262	37%
Galaxy Health Network	$2,308	37%
Multiplan	$2,308	37%
Healthsmart	$3,341	54%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,923.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 47562.

Insurance In-Network Protection Plan

Contact your insurance company to confirm UT of Texas Southwestern University Hospital - William P. Clements Jr. is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 47562.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.