CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Christus Santa Rosa Hospital-San Marcos

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,703
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Christus Santa Rosa Hospital-San Marcos is $5,703. 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 0.92x the Medicare baseline. Located in 1301 Wonder World Drive, San Marcos, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,703

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: $5,703 (92%)
Ins. Median: $5,703 (92% 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 $765 - $5,751 12%
Community First $1,889 31%
Blue Cross Blue Shield $1,927 - $12,133 31%
Amerigroup $1,983 - $6,106 32%
Texas Childrens Health Plan $1,983 32%
Superior $2,172 35%
Five Point Credit Union $4,020 65%
Allwell $5,654 92%
Christus Health $5,654 - $7,916 92%
Humana $5,654 - $21,698 92%
Triwest $5,654 92%
Washington National $5,654 92%
Wellcare $5,654 92%
Aetna $5,767 93%
Cigna $5,824 - $18,882 94%
Provider Partners Health Plan $5,824 94%
Shared Health Insurance Company $5,937 96%
Devoted Health Plan $6,106 99%
Sendero $9,668 157%
Naphcare Inc. $11,308 183%
Healthcare Highways $14,305 232%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1301 Wonder World Drive, San Marcos, TX 78666
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals