CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Texas Orthopedic Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $4,345
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.70x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Texas Orthopedic Hospital is $4,345. 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 0.70x the Medicare baseline. Located in 7401 South Main Street, Houston, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,345

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: $4,345 (70%)

Ins. Median: $4,345 (70% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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 - $14,500	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 - $5,230	39%
Fidelis Securecare Of Tx	$4,505	73%
Wellmed	$6,103	99%
Blue Cross Blue Shield	$8,604 - $13,196	139%
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

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 47562.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Texas Orthopedic Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 47562.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.