CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Yoakum County Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $7,735
  • Cash Discount Price: $11,050
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Yoakum County Hospital is $7,735. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,050. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.25x the Medicare baseline. Located in 412 Mustang Avenue, Denver City, TX.
Cash / Self-Pay
$11,050

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,735

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: $11,050 (179%)
Insurance Median: $7,735 (125%)
Cash: $11,050 (179% of Medicare)
Ins. Median: $7,735 (125% 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
90 Degree Benefits $713 12%
Cigna $2,000 32%
Insurance Services Of Lubbock $4,400 71%
Humana $7,182 116%
UnitedHealthcare $7,182 - $8,840 116%
Firstcare $7,293 - $7,735 118%
Multiplan $7,293 - $9,669 118%
Aetna $7,326 - $9,392 119%
Dars $7,735 125%
Healthsmart $9,337 151%
Phcs $9,392 152%
Capstar $9,945 161%
Provider Network $10,774 174%
Blue Cross Blue Shield $11,050 179%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 412 Mustang Avenue, Denver City, TX 79323
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals