CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Cornerstone Regional Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,212
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Cornerstone Regional Hospital is $5,212. 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 0.84x the Medicare baseline. Located in 2302 Cornerstone Boulevard, Edinburg, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,212

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: $5,212 (84%)
Ins. Median: $5,212 (84% 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.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Discroll $2,504 41%
Molina $2,504 - $5,212 41%
Superior $2,504 - $5,212 41%
Texas_Health_Spring $2,504 - $5,212 41%
United_Healthcare $2,504 - $11,768 41%
Blue Cross Blue Shield $4,264 - $5,212 69%
Aetna $5,212 - $10,015 84%
Allwell $5,212 84%
Ambetter / Centene $5,212 84%
Humana $5,212 - $7,299 84%
Prominence $5,212 84%
Wellmed $5,212 84%
Cigna $21,550 349%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2302 Cornerstone Boulevard, Edinburg, TX 78539
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals