CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Medical Center Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $3,988
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.65x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Medical Center Hospital is $3,988. 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 0.65x the Medicare baseline. Located in 500 W 4Th Street, Odessa, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,988

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: $3,988 (65%)
Ins. Median: $3,988 (65% 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
Ambetter / Centene $1,165 19%
Amerigroup $1,165 19%
Blue Cross Blue Shield $1,165 - $8,169 19%
Community Health Choice $1,165 19%
First Care Health Plan $1,165 19%
Superior Health Plan $1,165 19%
UnitedHealthcare $1,165 - $6,778 19%
Cigna $2,498 40%
Aetna $5,478 89%
Humana $5,478 89%
Health Select $5,897 95%
Geha $6,778 110%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 500 W 4Th Street, Odessa, TX 79761
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals