CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Titus Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $924
  • Cash Discount Price: $1,366
  • vs. Medicare Baseline: 0.15x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Titus Regional Medical Center is $924. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,366. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.15x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.
Cash / Self-Pay
$1,366

Average discount available for prompt cash payment at this facility.

Insurance Median
$924

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: $1,366 (22%)
Insurance Median: $924 (15%)
Cash: $1,366 (22% of Medicare)
Ins. Median: $924 (15% 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.

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
Christus Health Plan $475 8%
Humana $475 - $2,277 8%
Tricare $475 8%
Triwest $475 - $2,277 8%
UnitedHealthcare $475 - $1,787 8%
Texas Mutual $489 8%
Curative $523 8%
Superior $559 9%
Aetna $632 - $987 10%
Blue Cross Blue Shield $653 - $2,277 11%
Claritev $723 12%
Healthcare Highways $860 14%
Healthsmart $1,594 26%
Cigna $1,822 29%
Galaxy Health $2,163 35%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2001 N Jefferson, Mount Pleasant, TX 75455
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals