CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Knapp Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,043
  • Cash Discount Price: $6,043
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Knapp Medical Center is $6,043. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,043. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.98x the Medicare baseline. Located in 1401 East Eight Street, Weslaco, TX.
Cash / Self-Pay
$6,043

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,043

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: $6,043 (98%)
Insurance Median: $6,043 (98%)
Cash: $6,043 (98% of Medicare)
Ins. Median: $6,043 (98% 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
Corvel $4,230 68%
Zelis Healthcare Fka Stratose $4,532 73%
Provider Network Of America $4,835 78%
Provider Select $5,288 86%
Blue Cross Blue Shield $5,365 - $6,284 87%
Three Rivers $5,439 88%
Americas Choice Provider Network (Acpn) $5,862 95%
Division Of Immigration Health $5,922 96%
Cigna $6,043 - $6,225 98%
Coventry (First Health) $6,043 98%
Medicare (plans) $6,043 98%
Prime Health Services $6,043 98%
Superior Health Plan $6,043 - $7,856 98%
Texas Bluebonnet Health Plan $6,043 - $9,971 98%
Tricare $6,043 98%
UnitedHealthcare $6,043 98%
Veterans Evaluation Services $6,043 98%
Wellmed Aarp Ma Fka Physicians Health Choice $6,043 98%
Worker Comp $6,043 98%
Molina $6,345 - $9,367 103%
Multiplan $6,345 103%
Provider Partners Health Plan $6,345 103%
Imperial Insurance Companies $6,406 104%
Texas Oncology Pa Op $7,554 122%
Frontier Health (Fka Asserta Health) $7,856 127%
Magic Valley Electric Cooperative $7,856 127%
Employer Direct Healthcare $8,461 137%
Corporate Remedies (Wc) $9,065 147%
Naphcare $9,367 152%
Occunet $10,576 171%
Baker Benefits Administrators $12,087 196%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1401 East Eight Street, Weslaco, TX 78596
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals