CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: South Peninsula Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $7,628
Cash Discount Price: $6,248
vs. Medicare Baseline: 1.24x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at South Peninsula Hospital is $7,628. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,248. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.24x the Medicare baseline. Located in 4300 Bartlett St, Homer, AK.

Cash / Self-Pay

$6,248

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,628

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: $6,248 (101%)

Insurance Median: $7,628 (124%)

Cash: $6,248 (101% of Medicare)

Ins. Median: $7,628 (124% 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
Liberty Healthshare - All Plans	$1,163 - $5,621	19%
UnitedHealthcare	$1,939 - $7,387	31%
Premera First - All Plans	$2,878 - $7,467	47%
Blue Cross Blue Shield	$3,332 - $7,467	54%
Aetna	$6,825 - $7,338	111%
Geha - All Plans	$7,226 - $7,770	117%
Meritain - All Plans	$7,226 - $7,770	117%
Teamsters Emply - All Plans	$7,226 - $7,770	117%
Ufcw - All Plans	$7,226 - $7,770	117%
Cigna	$7,628 - $8,201	124%
Great West - All Plans	$7,628 - $8,201	124%
Moda - All Plans	$7,628 - $8,201	124%
Multiplan Phcs - All Plans	$7,628 - $8,201	124%
Pmcs - All Plans	$7,628 - $8,201	124%
First Choice Health - All Plans	$7,869 - $8,460	127%

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 $6,248.
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 South Peninsula 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.