CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Memorial Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $969
  • Cash Discount Price: $1,037
  • vs. Medicare Baseline: 0.16x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Memorial Medical Center is $969. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,037. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.16x the Medicare baseline. Located in 701 N Virginia St, Port Lavaca, TX.
Cash / Self-Pay
$1,037

Average discount available for prompt cash payment at this facility.

Insurance Median
$969

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: $1,037 (17%)
Insurance Median: $969 (16%)
Cash: $1,037 (17% of Medicare)
Ins. Median: $969 (16% 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
Ambetter / Centene $204 - $744 3%
Triwest Va Pccc-All Plans $212 - $601 3%
Amerigroup Mcr Adv-All Other Plans $216 - $613 3%
Care Improvement Plus - All Other Plans $216 - $613 3%
Coventry First Hlth Mcr Adv $216 - $766 3%
Multiplan Mcr Adv $216 - $1,977 3%
Superior Allwell Mcr Adv-All Other Plans $216 - $613 3%
Universal American Mcr-All Other Plans $216 - $613 3%
Care Improvement Plus Mcr $218 - $613 4%
Universal American Snp $227 - $644 4%
Healthcare Highways-All Plans $414 - $1,861 7%
Prime Healthcare Services-All Plans $446 - $1,628 7%
Blue Cross Blue Shield $478 - $4,346 8%
Humana $510 - $1,861 8%
Corvel Work Comp-All Plans $542 - $1,977 9%
Independent Med Sys Ppo-All Plans $542 - $1,977 9%
Multiplan Phcs Ppo-All Other Plans $542 - $1,977 9%
Provider Select Ppo-All Plans $542 - $1,977 9%
Three Rivers Ppo-All Plans $542 - $1,977 9%
Usa Mso - All Plans $542 - $1,977 9%
UnitedHealthcare $613 - $2,326 10%
Amerigroup Chip $637 - $2,326 10%
Amerigroup Star $637 - $2,326 10%
Amerigroup Star Kids $637 - $2,326 10%
Amerigroup Star Plus $637 - $2,326 10%
Comm Health Chip $637 - $2,326 10%
Comm Health Perinatal-All Other Plans $637 - $2,326 10%
Molina Chip/Star-All Plans $637 - $2,326 10%
Scott & White Chip/Star-All Plans $637 - $2,326 10%
Superior Chip/Star $637 - $2,326 10%
Texas Childrens Hp - All Plans $637 - $2,326 10%
Comm Health Mcaid Hmo $669 - $2,442 11%
Comm Health Star $669 - $2,442 11%
Coventry First Hlth Hmo Ppo-All Other Plans $766 - $1,861 12%
Galaxy Health Network-All Plans $889 - $1,977 14%
Capstar Health Network-All Plans $969 - $1,861 16%
Cigna $969 16%
Aetna $1,861 30%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 701 N Virginia St, Port Lavaca, TX 77979
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals