CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Ward Memorial Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $2,280
Cash Discount Price: $5,032
vs. Medicare Baseline: 0.37x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Ward Memorial Hospital is $2,280. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,032. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.37x the Medicare baseline. Located in 406 South Gary St, Monahans, TX.

Cash / Self-Pay

$5,032

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,280

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: $5,032 (81%)

Insurance Median: $2,280 (37%)

Cash: $5,032 (81% of Medicare)

Ins. Median: $2,280 (37% 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
Blue Cross Blue Shield	$451 - $8,400	7%
Firstcare	$451 - $2,326	7%
Medicare (plans)	$451 - $2,280	7%
Superior Healthplan	$451 - $2,280	7%
Cigna	$1,387 - $7,008	22%
Corecare	$1,663 - $8,400	27%
Texas True Choice	$1,781 - $9,000	29%
Unicare	$1,900 - $9,600	31%
Galaxy Health Network	$2,138 - $10,800	35%
Multiplan	$2,138 - $10,800	35%
Usa Health Network	$2,138 - $10,800	35%
Usc Health Services	$2,138 - $10,800	35%
Aetna	$2,351 - $11,880	38%

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 $5,032.
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 Ward Memorial 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.