CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Northwest Medical Center Sahuarita

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,538
  • Cash Discount Price: $22,047
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Northwest Medical Center Sahuarita is $6,538. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22,047. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.06x the Medicare baseline. Located in 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ.
Cash / Self-Pay
$22,047

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,538

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: $22,047 (357%)
Insurance Median: $6,538 (106%)
Cash: $22,047 (357% of Medicare)
Ins. Median: $6,538 (106% 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 $3,632 - $3,886 59%
Mercy Care $3,632 - $6,348 59%
Aetna $6,348 - $7,960 103%
Blue Cross Blue Shield $6,348 - $16,413 103%
Cigna $6,348 - $12,942 103%
Humana $6,348 103%
Medicare (plans) $6,348 103%
Node Caremore Mcr Adv $6,348 103%
Node Mercy Care Mcr Adv $6,348 103%
UnitedHealthcare $6,348 - $10,939 103%
Node Non Par Hospice Agree $6,451 104%
Node Triwest $6,451 - $6,909 104%
Node Va $6,451 104%
Node Clover Health Mcr Adv $6,516 105%
Node Devoted Health Mcr Adv $6,538 106%
Banner Mcr Adv $6,665 108%
Node Banner Mcr Adv $6,665 108%
Node Wellcare Mcr Adv $6,665 108%
Node Us Dept Of Labor $8,064 131%
Ambetter / Centene $9,096 147%
Node Health Choice Health Exchange $9,612 156%
Node Fusion Network $11,612 188%
Node J Allen Inmate Health Svcs $12,257 198%
Department Of Veterans Affairs $12,504 202%
Node Champva $12,504 202%
Tricare $12,504 202%
Self Pay $22,047 357%
Coventry Work Comp Al $73,491 1190%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 16260 South Rancho Sahuarita Boulevard, Sahuarita, AZ 85629
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals