CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Womans Hospital of Texas,The

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $4,690
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.76x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Womans Hospital of Texas,The is $4,690. 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 0.76x the Medicare baseline. Located in 7600 Fannin, Houston, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,690

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: $4,690 (76%)
Ins. Median: $4,690 (76% 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 $1,851 30%
Amerigroup $1,983 32%
United $2,027 - $10,000 33%
Molina Healthcare $2,078 34%
Community Health Choice Mcd $2,116 34%
Humana $2,361 - $4,690 38%
Superior Health Plan $2,369 38%
Aetna $2,384 - $9,417 39%
Kelsey Care (Boon-Chapman) $4,255 69%
Fidelis Securecare Of Tx $4,505 73%
Wellmed $6,103 99%
Blue Cross Blue Shield $6,671 - $7,734 108%
Curative Administrators $8,778 142%
Healthcare Highways $9,124 148%
Evry Health $9,493 154%
Oscar $9,653 156%
Cigna $10,851 - $13,978 176%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7600 Fannin, Houston, TX 77054
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals