CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Flowers Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,921
  • Cash Discount Price: $8,868
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Flowers Hospital is $5,921. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,868. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.96x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$8,868

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,921

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: $8,868 (144%)
Insurance Median: $5,921 (96%)
Cash: $8,868 (144% of Medicare)
Ins. Median: $5,921 (96% 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
Alabama Rehab $441 7%
Medicaid / KanCare $441 - $2,378 7%
Veterans Eval Services $583 9%
Choicecare Commercial $3,500 57%
UnitedHealthcare $4,935 - $9,624 80%
Blue Cross Blue Shield $5,050 - $5,731 82%
Viva Health $5,219 84%
Multiplan $5,578 - $47,296 90%
Humana $5,731 93%
Medicare (plans) $5,731 93%
Node Viva Mcr Adv $5,731 93%
Select Health $5,788 94%
Compassionate Hands $5,824 94%
Covenant Hospice $5,824 94%
Dayspring Hospice $5,824 94%
Node Hospice Non Par $5,824 94%
Node Va $5,824 94%
Southern Care Hospice $5,824 94%
Vistacare Hospice $5,824 94%
Wiregrass Hospice $5,824 94%
Care Improvement Plus $5,845 95%
Cigna $5,845 95%
Node Devoted Health Mcr Adv $5,845 95%
Node Clover Health Mcr Adv $5,882 95%
Aetna $5,902 - $43,157 96%
Node Wellcare Mcr Adv $5,941 96%
Eon Health Care $6,017 97%
Prime Health $6,132 - $41,709 99%
Tricare $6,870 111%
Node Champva $7,231 117%
Node Us Dept Of Labor $7,280 118%
Ambetter / Centene $8,736 141%
Self Pay $8,868 144%
Occunet $10,192 165%
S & S Healthcare $14,780 239%
American Employee Alliance $23,648 383%
Coventry Healthcare $29,560 - $45,144 479%
Standard Textile $41,384 670%
Alamed Wc $41,709 675%
Health Choice $43,157 699%
Equian $44,340 - $46,616 718%
Qhp $44,340 718%
Novanet $47,296 766%
Alabama Work Comp $49,069 794%
Ccn/Mednet Ppo $50,252 814%
Corvel $50,252 814%
Industry Buying Group $50,252 814%
Galaxy Health $53,208 861%
Health Payors Org $53,208 861%
National Provider Net $53,208 861%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals