CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Oro Valley Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $7,420
  • Cash Discount Price: $16,621
  • vs. Medicare Baseline: 1.20x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Oro Valley Hospital is $7,420. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,621. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.20x the Medicare baseline. Located in 1551 East Tangerine Road, Oro Valley, AZ.
Cash / Self-Pay
$16,621

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,420

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: $16,621 (269%)
Insurance Median: $7,420 (120%)
Cash: $16,621 (269% of Medicare)
Ins. Median: $7,420 (120% 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 - $41,553 62%
Aetna $6,348 - $13,159 103%
Caremore Health Plan $6,348 103%
Cigna $6,348 - $12,942 103%
Humana $6,348 103%
Medicare (plans) $6,348 103%
Scan Health $6,348 103%
UnitedHealthcare $6,348 - $10,939 103%
Pascua Yaqui Tribe $6,387 103%
Blue Cross Blue Shield $6,451 - $10,834 104%
Node Non Par Hospice Agree $6,451 104%
Node Triwest $6,451 104%
Node Va $6,451 104%
Fresenius Health $6,475 105%
Clover Health Mcr Adv $6,516 105%
Node Devoted Health Mcr Adv $6,538 106%
Node Banner Mcr Adv $6,665 108%
Wellcare Mcr Adv $6,665 108%
Department Of Veterans Affairs $7,420 120%
Tricare $7,420 120%
Node Us Dept Of Labor $8,064 131%
Ambetter / Centene $9,096 147%
Node Health Choice Exchange $9,612 156%
Node Fusion Network $11,612 188%
Node J Allen Inmate Health Svcs $12,257 198%
Health Net $13,547 219%
Seven Corners $14,837 240%
Self Pay $16,621 269%
Beacon Health Options $34,628 561%
Mtc $34,628 561%
First Health Coventry $36,359 589%
Coventry Work Comp Al $41,553 673%
Multiplan $57,482 931%
Prime Health $58,867 953%
Three Rivers $58,867 953%
Healthsmart $62,330 1009%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1551 East Tangerine Road, Oro Valley, AZ 85755
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals