CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Northwest Hills Surgical Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $4,582
  • Cash Discount Price: $5,574
  • vs. Medicare Baseline: 0.74x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Northwest Hills Surgical Hospital is $4,582. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,574. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.74x the Medicare baseline. Located in 6818 Austin Ctr Blvd Suite 100, Austin, TX.
Cash / Self-Pay
$5,574

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,582

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%)
Cash / Self-Pay: $5,574 (90%)
Insurance Median: $4,582 (74%)
Cash: $5,574 (90% of Medicare)
Ins. Median: $4,582 (74% 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
Champva $655 - $668 11%
Blue Cross Blue Shield $1,889 - $5,655 31%
Dell Chip/Chip Perinate $1,889 31%
Dell Star $1,889 31%
UnitedHealthcare $1,889 31%
Wellpoint Chip/Chip Perinate $1,889 31%
Wellpoint Star $1,889 31%
Wellpoint Star Kids $1,889 31%
Wellpoint Star Plus $1,889 31%
Tricare $3,866 63%
Aetna $4,138 - $7,708 67%
Oscar Health Exchange $4,800 78%
Humana $5,556 - $19,004 90%
Healthsmart Accel $6,050 98%
Covenant Health $6,612 107%
Seton Performance Plus $6,718 109%
Cigna $9,340 151%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6818 Austin Ctr Blvd Suite 100, Austin, TX 78731
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals