CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Christus St Michael Health System

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,728
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Christus St Michael Health System is $5,728. 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 0.93x the Medicare baseline. Located in 2600 St Michael Dr, Texarkana, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,728

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: $5,728 (93%)
Ins. Median: $5,728 (93% 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
Arkansas Total Care $363 6%
Empower Healthcare Solutions $370 6%
UnitedHealthcare $707 - $16,543 11%
Amerigroup $1,889 - $6,186 31%
Superior $1,889 31%
Texas True Choice $1,889 31%
Summit Community Care $1,927 31%
Molina $1,983 - $5,728 32%
Texas Children'S Health Plan $1,983 32%
Aetna $4,372 - $5,728 71%
State Of Oklahoma $5,060 82%
Blue Cross Blue Shield $5,269 - $12,809 85%
Christus Health $5,728 - $8,019 93%
Coventry $5,728 93%
Humana $5,728 - $6,809 93%
Texas Healthspring $5,728 93%
Triwest $5,728 93%
Windsor $5,728 93%
Provider Partners Health Plan $5,899 96%
Texas Independence Health Plan $5,899 96%
Shared Health Insurance Company $6,014 97%
Tribute Health Plan $6,014 97%
Healthcare Highways $6,099 99%
Us Imaging Network $6,129 99%
Imperial Health Plan $6,300 102%
Medicare (plans) $6,300 102%
Procare Advantage $6,300 102%
Cigna $9,241 150%
Qualchoice $10,587 171%
Five Point Credit Union $10,721 174%
Naphcare Inc. $11,455 185%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2600 St Michael Dr, Texarkana, TX 75503
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals