CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Northwest Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $7,164
  • Cash Discount Price: $17,789
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Northwest Medical Center is $7,164. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,789. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.16x the Medicare baseline. Located in 6200 North La Cholla Boulevard, Tucson, AZ.
Cash / Self-Pay
$17,789

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,164

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: $17,789 (288%)
Insurance Median: $7,164 (116%)
Cash: $17,789 (288% of Medicare)
Ins. Median: $7,164 (116% 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
Veterans Eval Services $631 10%
Medicaid / KanCare $3,632 - $3,886 59%
Magellan $3,814 - $6,665 62%
Aetna $6,348 - $33,354 103%
Cigna $6,348 - $12,942 103%
Humana $6,348 103%
Medicare (plans) $6,348 103%
Node Caremore Mcr Adv $6,348 103%
Scan Health Plan $6,348 103%
UnitedHealthcare $6,348 - $37,060 103%
Pascua Yaqui Tribe $6,387 103%
Blue Cross Blue Shield $6,451 - $11,118 104%
Node Non Par Hospice Agree $6,451 104%
Node Va $6,451 104%
Triwest $6,451 104%
Fresenius Health $6,475 105%
Node Clover Health Mcr Adv $6,516 105%
Node Devoted Health Mcr Adv $6,538 106%
Node Banner Mcr Adv $6,665 108%
Wellcare $6,665 108%
Department Of Veterans Affairs $7,885 128%
Tricare $7,885 128%
Node Us Dept Of Labor $8,064 131%
Ambetter / Centene $9,096 147%
Node Health Choice Health Exchange $9,483 154%
Health Net $10,225 166%
Node Fusion Network $11,612 188%
Node J Allen Inmate Health Svcs $12,257 198%
Seven Corners $14,837 240%
Self Pay $17,789 288%
First Health Coventry $38,913 630%
Coventry Medical Center $44,472 720%
Multiplan $61,520 996%
Prime Health $63,002 1020%
Healthsmart $66,708 1080%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6200 North La Cholla Boulevard, Tucson, AZ 85741
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals