CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Round Rock Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $8,275
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Round Rock Medical Center is $8,275. 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 1.34x the Medicare baseline. Located in 2400 Round Rock Ave, Round Rock, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,275

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: $8,275 (134%)
Ins. Median: $8,275 (134% 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
Amerigroup $508 8%
St David’S Hospice $1,889 31%
Blue Cross Blue Shield $1,983 - $15,275 32%
United $2,027 - $16,517 33%
Molina Healthcare $2,078 34%
Superior Health Plan $2,323 38%
Humana $2,361 38%
Sendero $2,361 38%
Aetna $2,644 - $10,247 43%
Moda $5,681 92%
Oscar $7,589 - $8,970 123%
Nomi Health $7,861 - $8,275 127%
Curative Administrators $8,778 142%
Evry Health $9,287 150%
Healthcare Highways $9,372 - $9,565 152%
Harbor Health Team $9,820 159%
Moda Health $10,264 - $10,470 166%
Cigna $10,441 - $13,329 169%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Round Rock Ave, Round Rock, TX 78681
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals