CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,699
Cash Discount Price: $1,475
vs. Medicare Baseline: 0.28x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Medical West, An Affiliate of UAB Health System is $1,699. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,475. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.28x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$1,475

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,699

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: $1,475 (24%)

Insurance Median: $1,699 (28%)

Cash: $1,475 (24% of Medicare)

Ins. Median: $1,699 (28% 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
Cigna	$482 - $9,412	8%
Viva	$983 - $6,359	16%
Phcs	$1,180 - $1,376	19%
Beech Street	$1,219 - $1,376	20%
One Health Plan	$1,278	21%
Aetna	$1,376 - $5,530	22%
Geha	$1,376	22%
Healthchoice	$1,376	22%
Alamed	$1,539	25%
Construction Claims Management	$1,591	26%
Multiplan	$1,612	26%
Corvel	$1,625 - $1,769	26%
Novanet	$1,642	27%
Humana	$1,671 - $5,862	27%
UnitedHealthcare	$1,688 - $6,083	27%
Department Of Labor	$1,710	28%
Heritage Summit Health	$1,710	28%
Pnoa	$1,769	29%
Three Rivers	$1,769	29%
Blue Cross Blue Shield	$5,474	89%
Cooper Green	$5,530	90%
Jefferson County Sheriff	$5,530	90%
Triwest	$5,530	90%
United Mine Workers	$5,530	90%
Ambetter / Centene	$7,603	123%

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 $1,475.
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 Medical West, An Affiliate of UAB Health System 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.