CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Riverview Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,396
  • Cash Discount Price: $5,395
  • vs. Medicare Baseline: 0.87x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Riverview Regional Medical Center is $5,396. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,395. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.87x the Medicare baseline. Located in 600 South Third Street, Gadsden, AL.
Cash / Self-Pay
$5,395

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,396

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: $5,395 (87%)
Insurance Median: $5,396 (87%)
Cash: $5,395 (87% of Medicare)
Ins. Median: $5,396 (87% 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 $374 6%
Blue Cross Blue Shield $4,399 - $5,396 71%
UnitedHealthcare $4,997 - $5,396 81%
Humana $5,126 83%
Viva Health $5,342 86%
Cigna $5,396 - $7,792 87%
Evernorth Behavioral Health $5,396 87%
Health Service Center $5,396 87%
Medicare (plans) $5,396 87%
Tricare $5,396 87%
Simpra Advantage $5,450 88%
Devoted Health $5,504 89%
Employer Direct Healthcare $7,554 122%
Naphcare $8,363 135%
Occunet $9,851 - $10,792 159%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 600 South Third Street, Gadsden, AL 35901
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals