CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Christus Santa Rosa Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,478
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Christus Santa Rosa Medical Center is $5,478. 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 0.89x the Medicare baseline. Located in 11212 State Hwy 151, San Antonio, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,478

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: $5,478 (89%)
Ins. Median: $5,478 (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.

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
UnitedHealthcare $748 - $12,961 12%
Aetna $1,889 - $8,861 31%
Blue Cross Blue Shield $1,889 - $8,507 31%
Community First $1,889 - $1,983 31%
Driscoll Children'S Health Plan $1,889 31%
El Paso First $1,889 31%
First Care $1,889 31%
Molina $1,889 - $5,478 31%
Superior $1,889 - $5,478 31%
Amerigroup $1,983 - $6,106 32%
Texas Childrens Health Plan $1,983 32%
Five Point Credit Union $4,020 65%
Humana $4,890 - $5,654 79%
Allwell $5,478 - $5,654 89%
Christus Health $5,478 - $7,670 89%
Coventry $5,478 89%
Texas Healthspring $5,478 89%
Triwest $5,478 - $5,654 89%
Wellcare $5,478 - $5,654 89%
Provider Partners Health Plan $5,643 - $5,824 91%
Texas Independence Health Plan $5,643 91%
Washington National $5,654 92%
Shared Health Insurance Company $5,752 - $5,937 93%
Cigna $5,824 - $18,882 94%
Us Imaging Network $5,862 95%
Healthcare Highways $5,893 95%
Devoted Health Plan $5,917 - $6,106 96%
Imperial Health Plan $6,026 98%
Medicare (plans) $6,026 98%
Procare Advantage $6,026 98%
Employer Direct $6,574 106%
Gilsbar Inc. $7,122 115%
Naphcare Inc. $10,957 177%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 11212 State Hwy 151, San Antonio, TX 78251
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals