CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Baylor Scott & White Medical Center Grapevine

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,352
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Baylor Scott & White Medical Center Grapevine is $6,352. 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 1.03x the Medicare baseline. Located in 1650 W College St, Grapevine, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,352

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: $6,352 (103%)
Ins. Median: $6,352 (103% 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
Superior Health Plan $1,889 - $5,558 31%
Aetna $1,927 - $15,605 31%
Baylor Scott & White Health Plan $5,029 - $8,735 81%
Humana $5,294 86%
Triwest $5,294 86%
Corvel $5,546 90%
Prime Health Services $5,546 90%
American Health Plan $5,558 90%
Blue Cross Blue Shield $5,558 - $16,338 90%
Healthspring $5,558 90%
Procare Advantage $5,558 90%
UnitedHealthcare $6,088 - $9,218 99%
Cigna $10,042 - $11,814 163%
Ambetter / Centene $10,958 177%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1650 W College St, Grapevine, TX 76051
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals