CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Christus Mother Frances Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,515
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Christus Mother Frances Hospital is $5,515. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.89x the Medicare baseline. Located in 800 East Dawson, Tyler, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,515

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%)
Insurance Median: $5,515 (89%)
Ins. Median: $5,515 (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.

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
Amerigroup $1,889 - $5,956 31%
Superior $1,889 31%
Molina $1,983 32%
Texas Childrens Health Plan $1,983 32%
UnitedHealthcare $1,983 - $5,822 32%
Aetna $5,515 89%
Allwell $5,515 89%
Blue Cross Blue Shield $5,515 - $8,507 89%
Christus Health $5,515 - $7,721 89%
Cigna $5,515 - $25,625 89%
Humana $5,515 - $8,989 89%
Triwest $5,515 89%
Washington National $5,515 89%
Wellcare $5,515 89%
Peoples Health $5,680 92%
Provider Partners Health Plan $5,680 92%
Shared Health Insurance Company $5,790 94%
Imperial Health Plan $6,066 98%
Medicare (plans) $6,066 98%
Procare Advantage $6,066 98%
Naphcare Inc. $11,030 179%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 East Dawson, Tyler, TX 75701
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals