CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Methodist Hospital Stone Oak

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,680
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.08x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Methodist Hospital Stone Oak is $6,680. 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 1.08x the Medicare baseline. Located in 1139 E Sonterra Blvd,, San Antonio, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,680

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: $6,680 (108%)
Ins. Median: $6,680 (108% 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
Community First Health Plans $365 - $1,927 6%
United $1,889 - $12,338 31%
Usa Managed Care Chip $1,889 31%
Molina Healthcare $2,078 34%
Amerigroup $2,086 34%
Fidelis Securecare $2,115 34%
Humana $2,361 38%
Superior Health $2,369 38%
Aetna $2,384 - $11,851 39%
San Antonio Employers Health Alliance $4,919 80%
Oscar $5,820 94%
Wellcare $6,255 - $6,377 101%
Imperial Insurance $6,680 108%
Focus Health Solutions $6,716 109%
Valenz $6,985 113%
First Health $7,039 114%
Healthcare Highways $7,301 118%
Blue Cross Blue Shield $7,444 - $12,471 121%
Evry Health $8,570 139%
Curative Administrators $8,778 142%
Cigna $10,010 - $13,252 162%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1139 E Sonterra Blvd,, San Antonio, TX 78258
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals