CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: De Tar Hospital Navarro

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,125
  • Cash Discount Price: $10,594
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at De Tar Hospital Navarro is $6,125. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,594. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.99x the Medicare baseline. Located in 506 E San Antonio St, Victoria, TX.
Cash / Self-Pay
$10,594

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,125

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: $10,594 (172%)
Insurance Median: $6,125 (99%)
Cash: $10,594 (172% of Medicare)
Ins. Median: $6,125 (99% 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
Veterans Eval Services $631 10%
Medicaid / KanCare $1,987 - $9,537 32%
Scott & White $1,987 32%
UnitedHealthcare $1,987 - $14,378 32%
Blue Cross Blue Shield $2,027 - $10,544 33%
Superior $2,670 - $12,328 43%
Amerigroup $4,694 76%
Tricare $5,769 - $6,073 93%
Humana $5,976 97%
Medicare (plans) $5,976 97%
Department Of Veterans Affairs $6,073 98%
Node Hospice Non Par Agree $6,073 98%
Node Triwest $6,073 98%
Node Va $6,073 98%
Aetna $6,155 - $28,755 100%
American Health Mcr Adv $6,215 101%
Provider Partners Health Plan $6,255 101%
Node Amerigroup Mcr Adv $6,275 102%
Node Procare Mcr Adv $6,275 102%
Industrial Rehab $6,984 113%
Node Us Dept Of Labor $7,591 123%
Node Brookshire Brothers $10,628 172%
Node Brookshire Brothers Work Comp Tx $11,296 183%
Dars $11,603 188%
Tx Workforce Commission $11,603 188%
Cigna $12,007 - $21,693 194%
Work Comp $12,146 197%
Elap $13,361 216%
Healthsmart $27,747 - $35,314 449%
Multiplan $32,791 - $40,359 531%
First Health $34,305 555%
Medcorp Southwest Inc $35,314 572%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 506 E San Antonio St, Victoria, TX 77901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals