CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Canyon Vista Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $15,815
Cash Discount Price: $25,708
vs. Medicare Baseline: 2.56x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Canyon Vista Medical Center is $15,815. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25,708. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 2.56x the Medicare baseline. Located in 5700 East Highway 90, Sierra Vista, AZ.

Cash / Self-Pay

$25,708

Average discount available for prompt cash payment at this facility.

Insurance Median

$15,815

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: $25,708 (416%)

Insurance Median: $15,815 (256%)

Cash: $25,708 (416% of Medicare)

Ins. Median: $15,815 (256% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 256% of the Medicare baseline (a markup of 156%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
University Phyicians Inc	$4,870	79%
Azch-Complete Care Plan	$5,127	83%
Humana	$6,430	104%
Wellcare By Allwell	$6,430	104%
UnitedHealthcare	$6,860 - $55,820	111%
Ambetter / Centene	$11,534	187%
Aetna	$15,815	256%
Luminare Health	$16,708	271%
Cigna	$20,885 - $57,769	338%
Meritain Health	$44,042	713%
Blue Cross Blue Shield	$65,333	1058%

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 $25,708.
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 Canyon Vista Medical Center 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.