CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Gunnison Valley Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $3,150
Cash Discount Price: $3,825
vs. Medicare Baseline: 0.51x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Gunnison Valley Hospital is $3,150. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,825. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.51x the Medicare baseline. Located in 711 N Taylor St, Gunnison, CO.

Cash / Self-Pay

$3,825

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,150

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: $3,825 (62%)

Insurance Median: $3,150 (51%)

Cash: $3,825 (62% of Medicare)

Ins. Median: $3,150 (51% 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
Medicaid / KanCare	$532	9%
Medicare (plans)	$649	11%
Aetna	$941	15%
Apostrophe-All Plans	$1,071	17%
Cigna	$1,071	17%
Gunnison County Sheriff Op & Profee Only	$2,310	37%
Ebms Hdhp	$2,700	44%
Tetwp Op & Profee Only-All Plans	$2,700	44%
U Of Co Transplant-All Plans	$2,700	44%
Ebms Ppo Plan-All Other Plans	$3,150	51%
Gunnison County Employees-All Other Plans	$3,600	58%
Scottish Rites-All Plans	$3,600	58%
Elap Employers-All Plans	$3,825	62%
Blue Cross Blue Shield	$3,945	64%
Multiplan-All Plans	$4,050	66%
Rocky Mountain Health-All Plans	$4,275	69%
UnitedHealthcare	$4,275	69%
Cofinity-All Plans	$4,320	70%

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 $3,825.
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 Gunnison Valley Hospital 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.