CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: San Luis Valley Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,598
Cash Discount Price: $1,401
vs. Medicare Baseline: 0.26x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at San Luis Valley Regional Medical Center is $1,598. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,401. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.26x the Medicare baseline. Located in 106 Blanca Ave, Alamosa, CO.

Cash / Self-Pay

$1,401

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,598

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: $1,401 (23%)

Insurance Median: $1,598 (26%)

Cash: $1,401 (23% of Medicare)

Ins. Median: $1,598 (26% 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
Rocky Mountain	$605	10%
Uc Health Plan Pb	$700	11%
Aetna	$968 - $1,532	16%
Multiplan Physician	$1,401	23%
Cigna	$1,663	27%
Rocky Mountain Pb	$1,663	27%
Uchpa Phs - Pb	$1,663	27%
Tricare	$5,863 - $6,377	95%
Kaiser	$6,377	103%
Triwest	$6,377	103%
Presbyterian Health Plan	$14,349	232%

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 $1,401.
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 San Luis Valley Regional 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.