CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Grandview Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,912
  • Cash Discount Price: $21,248
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Grandview Medical Center is $6,912. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $21,248. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.12x the Medicare baseline. Located in 3690 Grandview Parkway, Birmingham, AL.
Cash / Self-Pay
$21,248

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,912

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: $21,248 (344%)
Insurance Median: $6,912 (112%)
Cash: $21,248 (344% of Medicare)
Ins. Median: $6,912 (112% 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 Health $2,589 - $6,569 42%
Aetna $2,600 - $5,604 42%
Healthchoice $2,600 - $84,991 42%
Choicecare $3,500 57%
First Health $3,500 - $110,772 57%
Blue Advantage $5,441 88%
Humana $5,441 88%
Medicare (plans) $5,441 88%
UnitedHealthcare $5,441 - $63,744 88%
Victory Health $5,441 88%
Select Health $5,496 89%
Hospice $5,530 90%
Node Va $5,530 90%
Cigna $5,550 - $9,657 90%
Node Devoted Health Mcr Adv $5,550 90%
Node Clover Health Mcr Adv $5,585 90%
Node Wellcare Mcr Adv $5,640 91%
Blue Cross Blue Shield $5,947 96%
Node Us Dept Of Labor $6,912 112%
Ag Administrators $7,500 121%
Ambetter / Centene $8,295 134%
Healthspring $9,677 157%
Tricare $15,459 250%
Node Champva $16,273 263%
Self Pay $21,248 344%
Bp Health Advocate $35,413 573%
Alamed $49,578 803%
Drummond $49,578 803%
American Employee Alliance $56,661 917%
Value Options $70,826 1147%
Multiplan $87,824 - $99,157 1422%
Blue Bell Creameries $99,157 1605%
Natl Comp Care $106,239 1720%
Usa Ppo $106,239 1720%
Coventry Work Comp Al $110,772 1793%
Novanet $114,384 1852%
Alabama Wc $120,405 1949%
Cal-Med $120,405 1949%
Corvel $120,405 1949%
Associated Admin $127,487 2064%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3690 Grandview Parkway, Birmingham, AL 35243
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals