CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: North Texas Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $5,498
Cash Discount Price: $2,011
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at North Texas Medical Center is $5,498. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,011. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.89x the Medicare baseline. Located in 1900 Hospital Blvd, Gainesville, TX.

Cash / Self-Pay

$2,011

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,498

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: $2,011 (33%)

Insurance Median: $5,498 (89%)

Cash: $2,011 (33% of Medicare)

Ins. Median: $5,498 (89% 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
Cigna	$668 - $5,764	11%
Blue Cross Blue Shield	$835 - $7,206	14%
First Health	$1,002 - $8,647	16%
Healthcare Highways	$1,002 - $8,647	16%
Aetna	$1,035 - $8,935	17%
Multiplan	$1,169 - $10,088	19%
Provider Select	$1,420 - $12,249	23%
Prime Health	$1,503 - $12,970	24%
UnitedHealthcare	$1,536 - $13,258	25%
90 Degree Benefits	$5,498	89%
Humana	$5,498	89%
Molina	$5,498 - $6,047	89%
Prominence Health	$5,498 - $5,772	89%
Superior	$5,498 - $6,047	89%
Wellmed	$5,498	89%
Wellpoint	$5,498	89%
Providers Partners Health Plan	$5,772	93%

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 $2,011.
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 North Texas Medical Center 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.