CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Tops Surgical Specialty Hospital

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$6,008

about 1.0× the $6,176 Medicare rate · typically $3,701–$6,952

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,803

Below the fair price — a good deal

about $2,205 under the fair price · 0.6× Medicare

Medicare pays $6,176 Fair price $6,008 This hospital $3,803 Cash price $2,498 Hospital's list price $7,137

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 $3,803

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 $6,008 (about 1.0× the $6,176 Medicare rate). Tops Surgical Specialty Hospital charges insurers about $3,803, or about $2,498 in cash — below the fair price — a good deal. Located in Houston, 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	$1,146 - $11,664	19%
Blue Cross Blue Shieldmajor	$3,212 - $3,783	52%
Aetnamajor	$2,102 - $8,722	34%
Cignamajor	$5,137 - $8,362	83%
Humanamajor	$3,454 - $8,027	56%
Ambetter (Centene)	$960 - $4,848	16%
Health Net	$1,112 - $6,066	18%
Oscar Health	$839 - $3,824	14%

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 (about 2,498), 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 Tops Surgical Specialty 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 Tops Surgical Specialty 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.