CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Valley Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,365
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Valley Regional Medical Center is $6,365. 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 100 A Alton Gloor, Brownsville, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,365

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: $6,365 (103%)
Ins. Median: $6,365 (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
Texas Health Network $1,870 30%
Usa Mco $1,889 31%
Driscoll Childrens Health Plan $1,946 32%
United $2,027 - $26,535 33%
Molina Healthcare $2,078 34%
Superior Health Plan $2,369 38%
Aetna $2,384 - $7,618 39%
Blue Cross Blue Shield $8,217 - $12,713 133%
Curative Administrators $8,778 142%
Healthcare Highways $9,124 148%
Oscar $9,328 151%
Cigna $9,999 - $13,370 162%
Independent Medical System $11,460 186%
Humana $12,814 207%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 A Alton Gloor, Brownsville, TX 78526
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals