CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Guadalupe Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $5,498
Cash Discount Price: $7,439
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Guadalupe Regional Medical Center is $5,498. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,439. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.89x the Medicare baseline. Located in 1215 E Court St, Seguin, TX.

Cash / Self-Pay

$7,439

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: $7,439 (120%)

Insurance Median: $5,498 (89%)

Cash: $7,439 (120% 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
Aetna	$562 - $12,647	9%
Christus Exchange Health Plan	$562 - $5,498	9%
Mcr Clover Health	$562 - $5,498	9%
Mcr Texas Independence Health	$562 - $5,498	9%
Mcr Wellcare	$562 - $5,498	9%
Oscar Health Plan	$562 - $5,498	9%
Va Triwest Health Alliance	$562 - $5,498	9%
Blue Cross Blue Shield	$5,342 - $7,002	86%
Superior Hlth Plan Mmcd	$6,695	108%
Healthcare Highways	$11,159	181%
UnitedHealthcare	$11,159	181%
Humana	$12,647	205%
Cigna	$13,391	217%
Texas Mutual Insurance Co	$13,391	217%

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 $7,439.
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 Guadalupe Regional 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.