CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Rio Grande Regional Hospital

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$6,520

about 1.1× the $6,176 Medicare rate · typically $4,624–$7,531

modeled estimate · not a bill or quote

What this hospital charges insurers

$5,233

Below the fair price — a good deal

about $1,287 under the fair price · 0.8× Medicare

Medicare pays $6,176 Fair price $6,520 This hospital $5,233

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

Highest price of the 9 TX hospitals we have prices for — worth calling around.

Cheapest $969 Priciest $5,233

Black dot = this hospital, among the 9 TX hospitals with a price for this procedure. Full list below.

A fair price for a Gallbladder removal (laparoscopic) is about $6,520 (about 1.1× the $6,176 Medicare rate). Rio Grande Regional Hospital charges insurers about $5,233 — below the fair price — a good deal. Located in McAllen, TX.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$2,027 - $15,581	33%
Blue Cross Blue Shieldmajor	$9,136 - $12,713	148%
Aetnamajor	$2,384 - $5,765	39%
Cignamajor	$9,999 - $13,370	162%
Humanamajor	$5,055	82%
Health Net	$1,870	30%
Healthcare Highways	$9,124	148%
Molina	$2,078	34%
Oscar Health	$9,328	151%
+ 3 smaller / regional plans	$1,946 - $11,460

Government programs also on file: Medicaid.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 47562.

Insurance Before you use insurance

Call your insurance company to confirm Rio Grande Regional Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 47562.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Rio Grande Regional Hospital

Compare: Gallbladder removal (laparoscopic) at other TX hospitals

Nacogdoches Memorial Hospital · Nacogdoches $969
University of Texas M. D. Anderson Cancer Center · Houston $1,239
Mitchell County Hospital District · Colorado City $1,250
Faith Community Hospital · Jacksboro $1,500
Cogdell Memorial Hospital · Snyder $1,503
Childrens Medical Ctr of Dallas · Dallas $1,569
Childrens Medical Center Plano · Plano $1,569
El Campo Memorial Hospital · El Campo $1,648

Insurance negotiated median for the same procedure, sorted lowest first.