CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Christus Mother Frances Hospital Sulphur Springs

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,009
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Christus Mother Frances Hospital Sulphur Springs is $6,009. 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 0.97x the Medicare baseline. Located in 115 Airport Rd, Sulphur Springs, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,009

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: $6,009 (97%)
Ins. Median: $6,009 (97% 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 - $6,490 31%
Superior $1,889 31%
Molina $1,983 32%
Texas Childrens Health Plan $1,983 32%
UnitedHealthcare $1,983 - $6,009 32%
Allwell $6,009 97%
Blue Cross Blue Shield $6,009 - $10,876 97%
Christus Health $6,009 - $8,413 97%
Cigna $6,009 97%
Humana $6,009 97%
Triwest $6,009 97%
Washington National $6,009 97%
Wellcare $6,009 97%
Aetna $6,069 98%
Peoples Health $6,190 100%
Provider Partners Health Plan $6,190 100%
Shared Health Insurance Company $6,310 102%
Imperial Health Plan $6,610 107%
Medicare (plans) $6,610 107%
Procare Advantage $6,610 107%
Naphcare Inc. $12,019 195%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 115 Airport Rd, Sulphur Springs, TX 75482
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals