CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Gadsden Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,567
  • Cash Discount Price: $12,495
  • vs. Medicare Baseline: 0.90x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Gadsden Regional Medical Center is $5,567. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,495. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.90x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$12,495

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,567

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: $12,495 (202%)
Insurance Median: $5,567 (90%)
Cash: $12,495 (202% of Medicare)
Ins. Median: $5,567 (90% 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
Medicaid / KanCare $441 7%
Veterans Eval Services $583 9%
Viva Healthcare $3,900 63%
UnitedHealthcare $5,313 - $13,552 86%
Blue Cross Blue Shield $5,336 86%
Humana $5,336 86%
Medicare (plans) $5,336 86%
Node Viva Mcr Adv $5,336 86%
Node Select Health Mcr Adv $5,389 87%
Amedisys Hospice $5,422 88%
Gadsden Hospice $5,422 88%
Node Non Par Hospice Agree $5,422 88%
Node Va $5,422 88%
Southern Care Hospice $5,422 88%
Cigna $5,442 - $32,044 88%
Node Devoted Health Mcr Adv $5,442 88%
Node Clover Health Mcr Adv $5,477 89%
Aetna $5,495 - $53,936 89%
Node Wellcare Mcr Adv $5,531 90%
Node Eon Mcr Adv $5,602 91%
Prime Health $5,709 - $75,229 92%
Node Us Dept Of Labor $6,778 110%
Ambetter / Centene $8,133 132%
Tricare $11,538 187%
Node Champva $12,145 197%
Self Pay $12,495 202%
American Employee Alliance $41,650 674%
Multiplan $59,351 - $65,598 961%
Magellan Behavioral $62,474 1011%
First Health $72,887 - $84,080 1180%
Beech Street $76,010 1231%
Alamed Wc $78,093 1264%
Focus Health $79,655 1290%
Coventry Work Comp Al $81,425 1318%
Work Comp $88,505 1433%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals