CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: St Francis Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $305
  • Cash Discount Price: $801
  • vs. Medicare Baseline: 0.05x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at St Francis Hospital is $305. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $801. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.05x the Medicare baseline. Located in 7Th and Clayton Sts, Wilmington, DE.
Cash / Self-Pay
$801

Average discount available for prompt cash payment at this facility.

Insurance Median
$305

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: $801 (13%)
Insurance Median: $305 (5%)
Cash: $801 (13% of Medicare)
Ins. Median: $305 (5% 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
Ambetter / Centene $70 - $435 1%
Geha $73 - $455 1%
UnitedHealthcare $73 - $455 1%
Cigna $80 - $6,495 1%
Aetna $102 - $6,811 2%
Coventry $102 - $7,722 2%
Meritain $102 - $747 2%
Medicaid / KanCare $110 - $726 2%
Andrie Inc $155 - $969 3%
East Greenbush Central School District $155 - $969 3%
Genex Wc $155 - $969 3%
Healthsmart Workers Comp $155 - $969 3%
Jag Source $155 - $969 3%
New York State Insurance Fund $155 - $969 3%
Njm Insurance Group $155 - $969 3%
Rx Heatlhcomp $155 - $969 3%
Rx Restat $155 - $969 3%
Rx Saif Opdp Wc $155 - $969 3%
Rx Worker'S Comp $155 - $969 3%
Wc Accident Fund $155 - $969 3%
Wc Ace $155 - $969 3%
Wc Acs Federal Employees $155 - $969 3%
Wc Acuity $155 - $969 3%
Wc Advantage $155 - $969 3%
Wc Aegis $155 - $969 3%
Wc Aig $155 - $969 3%
Wc Aims $155 - $969 3%
Wc Alaska National Ins $155 - $969 3%
Wc Align Network $155 - $969 3%
Wc Allied $155 - $969 3%
Wc Am Trust N America $155 - $969 3%
Wc American Claims Mgmt $155 - $969 3%
Wc Amerisure $155 - $969 3%
Wc Amtrust $155 - $969 3%
Wc Asu Risk Mgt $155 - $969 3%
Wc Benetech $155 - $969 3%
Wc Berkley Admin $155 - $969 3%
Wc Broadspire $155 - $969 3%
Wc Broward County $155 - $969 3%
Wc Bunch & Associates $155 - $969 3%
Wc California State Comp Ins $155 - $969 3%
Wc California State Ins Fund $155 - $969 3%
Wc Capitol Area Health Consortium $155 - $969 3%
Wc Ccmsi $155 - $969 3%
Wc Chartis $155 - $969 3%
Wc Chubb $155 - $969 3%
Wc Cirma $155 - $969 3%
Wc City Of Albany $155 - $969 3%
Wc City Of Sioux City $155 - $969 3%
Wc Claims Mgmt Inc $155 - $969 3%
Wc Cna $155 - $969 3%
Wc Comp One Admin C/O Manageability $155 - $969 3%
Wc Compone Admin $155 - $969 3%
Wc Ct Healthcare Trust $155 - $969 3%
Wc Donegal Insurance Group $155 - $969 3%
Wc Emc Insurance Company $155 - $969 3%
Wc Employee Mutual $155 - $969 3%
Wc Enablecomp $155 - $969 3%
Wc Encore Health Network $155 - $969 3%
Wc Erie $155 - $969 3%
Wc Esis $155 - $969 3%
Wc Evolutions $155 - $969 3%
Wc Fcci $155 - $969 3%
Wc Fed Ex $155 - $969 3%
Wc Federal Black Lung $155 - $969 3%
Wc Federated $155 - $969 3%
Wc Finley Occupational Health $155 - $969 3%
Wc First Agency/Occunet $155 - $969 3%
Wc Ford Motor $155 - $969 3%
Wc Fresno Unified Emp $155 - $969 3%
Wc Gallagher Bassett $155 - $969 3%
Wc General Motors $155 - $969 3%
Wc Generic $155 - $969 3%
Wc Genex Care For Ohio $155 - $969 3%
Wc Great West Casualty $155 - $969 3%
Wc Guarantee Insurance $155 - $969 3%
Wc Guard Insurance Company $155 - $969 3%
Wc Hab $155 - $969 3%
Wc Hartford $155 - $969 3%
Wc Hastings $155 - $969 3%
Wc Health Management $155 - $969 3%
Wc Heritage Summit $155 - $969 3%
Wc Hireright $155 - $969 3%
Wc Horizon $155 - $969 3%
Wc Icw Group $155 - $969 3%
Wc Idaho State Ins Fund $155 - $969 3%
Wc Intercare Insurance $155 - $969 3%
Wc Intermountain $155 - $969 3%
Wc Johns Eastern $155 - $969 3%
Wc Kemberton $155 - $969 3%
Wc Key Ins & Benefit Solutions $155 - $969 3%
Wc Liberty Mutual $155 - $969 3%
Wc Mac Risk Management $155 - $969 3%
Wc Massachusetts $155 - $969 3%
Wc Mdia $155 - $969 3%
Wc Meadowbrook Claim $155 - $969 3%
Wc Medical Administrators $155 - $969 3%
Wc Meijers $155 - $969 3%
Wc Memic $155 - $969 3%
Wc Mercy Workcare $155 - $969 3%
Wc Michigan $155 - $969 3%
Wc Michigan Millers Mutual $155 - $969 3%
Wc Mitchell Frankenmuth $155 - $969 3%
Wc Mra $155 - $969 3%
Wc Nationwide $155 - $969 3%
Wc Nca Comp $155 - $969 3%
Wc New York $155 - $969 3%
Wc New York Special Funds $155 - $969 3%
Wc North American Rishces $155 - $969 3%
Wc Northeast Health $155 - $969 3%
Wc Notre Dame $155 - $969 3%
Wc Novanet $155 - $969 3%
Wc O'Hara Corp $155 - $969 3%
Wc Occ Health Allen $155 - $969 3%
Wc Ohio Bureau $155 - $969 3%
Wc One Call Medical $155 - $969 3%
Wc Paradigm $155 - $969 3%
Wc Peerless $155 - $969 3%
Wc Pma $155 - $969 3%
Wc Praxis Health Network $155 - $969 3%
Wc Price Chopper $155 - $969 3%
Wc Procura Management $155 - $969 3%
Wc Qualcare $155 - $969 3%
Wc Quiktrip $155 - $969 3%
Wc Reny Company $155 - $969 3%
Wc Rev Claims $155 - $969 3%
Wc Risico $155 - $969 3%
Wc Rural Mutual $155 - $969 3%
Wc Saif Oregon $155 - $969 3%
Wc Secura $155 - $969 3%
Wc Sedgwick $155 - $969 3%
Wc Sentry $155 - $969 3%
Wc Sheakley Unicomp $155 - $969 3%
Wc Smile Lodge $155 - $969 3%
Wc Society $155 - $969 3%
Wc Srs $155 - $969 3%
Wc Taconic (Mro) $155 - $969 3%
Wc Taconic Farms $155 - $969 3%
Wc Travelers $155 - $969 3%
Wc Triad Group $155 - $969 3%
Wc Tristar $155 - $969 3%
Wc Troy Ny $155 - $969 3%
Wc Tyson $155 - $969 3%
Wc Unified Health Services $155 - $969 3%
Wc United Heartland $155 - $969 3%
Wc Us Dept Of Labor $155 - $969 3%
Wc Velocity $155 - $969 3%
Wc Walmart $155 - $969 3%
Wc West Bend $155 - $969 3%
Wc West Bend Mutual/Argent $155 - $969 3%
Wc Winnebago Industries $155 - $969 3%
Wc Yankee Trails $155 - $969 3%
Wc York Risk $155 - $969 3%
Wc Zenith $155 - $969 3%
Wc Zurich $155 - $969 3%
Allied National Global Care $186 - $1,233 3%
Asrm - Reliance Standard Life Insurance $186 - $1,233 3%
Christian Care Ministry $186 - $1,233 3%
Dean Health $186 - $1,233 3%
Devon Health Services $186 - $1,233 3%
Fallon Health $186 - $1,233 3%
Family Life Insurance Company $186 - $1,233 3%
Ghc Scw $186 - $1,233 3%
International Benefit Administrators $186 - $1,233 3%
Lifetime Benefit Solutions $186 - $1,233 3%
Manhattan Life $186 - $1,233 3%
Medi Share $186 - $1,233 3%
Multiplan $186 - $1,233 3%
Pai $186 - $1,233 3%
Pan-American Life $186 - $1,233 3%
Paramount Hmo $186 - $1,233 3%
Phcs $186 - $1,233 3%
Trinity Health Share $186 - $1,233 3%
Vitalcore $197 - $1,306 3%
Galaxy Health Network $208 - $1,378 3%
Prime Health Services $208 - $1,378 3%
Three Rivers Provider Network $208 - $1,378 3%
Wc Corvel $208 - $1,378 3%
Align Senior Care $259 - $305 4%
Ally Align Care Adv $259 - $305 4%
American Health Advantage Of Idaho $259 - $305 4%
American Health Plan $259 - $305 4%
Aurora Special Needs $259 - $305 4%
Blue Care Network Advantage $259 - $305 4%
Blue Cross Blue Shield $259 - $37,983 4%
Care Dimensions $259 - $305 4%
Care Improvement Plus $259 - $305 4%
Care Resources Pace $259 - $305 4%
Careplus Health Plans $259 - $305 4%
Cca - Zing Health $259 - $305 4%
Cca Senior Care Options $259 - $305 4%
Central Valley Medical Services Corp Pace $259 - $305 4%
Champion Health Plan Mcr Advantage $259 - $305 4%
Clear Spring Health $259 - $305 4%
Clover Health $259 - $305 4%
Commonwealth Care Alliance $259 - $305 4%
Community Pace At Home $259 - $305 4%
Eddy Senior Care-Pace $259 - $305 4%
Eddy Seniorcare Pace $259 - $305 4%
Elementcare $259 - $305 4%
Evercare $259 - $305 4%
Everence $259 - $305 4%
Gateway Health Plan $259 - $305 4%
Genesys Pace Of Genesee County $259 - $305 4%
Georgia Health Advantage $259 - $305 4%
Gold Advantage $259 - $305 4%
Gpa Croell Redi Mix $259 - $305 4%
Health America Advantra $259 - $305 4%
Highmark Health Options Dual Plan $259 - $6,628 4%
Hope Select Pace $259 - $305 4%
Horizon Nj Total Care $259 - $305 4%
Hudson Headwaters Pace $259 - $305 4%
Humana $259 - $316 4%
Huron Valley Pace $259 - $305 4%
Innovative Integrated Health Community Plans $259 - $305 4%
Iowa Health Advantage $259 - $305 4%
Johns Hopkins Advantage Md $259 - $305 4%
Lasso Healthcare Msa $259 - $305 4%
Life St Marys Pace $259 - $305 4%
Lifecircles Pace $259 - $305 4%
Longevity Health Plan $259 - $305 4%
Longevity Ipa Of Michigan Llc Health Plan Isnp $259 - $305 4%
Martins Point Generations Advantage $259 - $305 4%
Mass General Brigham Mcr Adv $259 - $305 4%
Medicare (plans) $259 - $6,748 4%
Medipak Advantage $259 - $305 4%
Mercy Life $259 - $305 4%
Mercyone Cedar Valley $259 - $305 4%
Meridian Complete $259 - $305 4%
Michigan Complete Health $259 - $305 4%
Nascentia Health Plus $259 - $305 4%
New Centry Health Careplus $259 - $305 4%
Osu Prime Care Advantage $259 - $305 4%
Pace Cny $259 - $305 4%
Pace Iowa Immanuel Pathways $259 - $305 4%
Pace Of Southwest Michigan $259 - $316 4%
Pace Southeast $259 - $305 4%
Pace-Trinity Health $259 - $2,608 4%
Peak Pace Solutions $259 - $305 4%
Perennial Advantage $259 - $305 4%
Preferred Care Partners $259 - $305 4%
Presbyterian Senior Plan $259 - $305 4%
Provider Partners Health Plan Of Illinois $259 - $305 4%
Provider Partners Health Plan Of Indiana $259 - $305 4%
Pruitthealth Premier $259 - $305 4%
Reliance Community Care Partners Care Resources Pace $259 - $305 4%
Rx Allwin $259 - $305 4%
Rx Grane Grnmedd $259 - $305 4%
Rx Retiree Rx Care $259 - $305 4%
Scan Health Plan Mcr Ipa Meritage Oon $259 - $305 4%
Secure Horizons Ma Pffs $259 - $305 4%
Serenity Pace $259 - $305 4%
Siouxland Pace $259 - $305 4%
Solis Health Plans $259 - $305 4%
Sunnyview-Pace Finance Dept $259 - $305 4%
Texan Plus $259 - $305 4%
The Health Plan $259 - $305 4%
Thome Pace $259 - $305 4%
Todays Options $259 - $305 4%
Tribute Health Plans $259 - $305 4%
Um Health Advantage $259 - $305 4%
Union Health Service $259 - $305 4%
Welbe Health $259 - $305 4%
Wellmed $259 - $305 4%
Champva $263 - $310 4%
Tricare $263 - $310 4%
Triwest Health Alliance $263 - $310 4%
Us Family Health Plan $263 - $310 4%
Veterans Eval Services $263 - $310 4%
Veterans Administration $264 - $311 4%
Blue Shield - De (Highmark) Medciare Advantage $272 - $6,628 4%
Albany County Correctional Facility $316 5%
Amish Mennonite $316 5%
Ascension St. Vincent Public Safety Medical $316 5%
Bcccp-Michigan $316 5%
Bccp $316 5%
Bmc Healthnet $316 5%
Breast Grant-Connecticut $316 5%
Broward County Dept Of Health $316 5%
California Health And Wellness $316 5%
Cardinal Innovations Lme $316 5%
Care Connections Of Northern Iowa $316 5%
Care Oregon Ohp $316 5%
Cencal Health Plan $316 5%
Cenpatico $316 5%
Chhuny $316 5%
Childrens Comm Health Plan $316 5%
Childrens Medical Services Title 19 $316 5%
City Of Philadelphia $316 5%
Cmh Allegan County $316 5%
Cmh Ausable Valley $316 5%
Cmh Barry County $316 5%
Cmh Bay-Arenac County $316 5%
Cmh Berrien County $316 5%
Cmh Cass County $316 5%
Cmh Central Mi County $316 5%
Cmh Clinton-Eaton-Ingham County $316 5%
Cmh Detroit Wayne Integrated Health Network $316 5%
Cmh Genesee County $316 5%
Cmh Ionia County $316 5%
Cmh Jackson County/Lifeways $316 5%
Cmh Kalamazoo $316 5%
Cmh Kent County $316 5%
Cmh Lenawee County $316 5%
Cmh Livingston County $316 5%
Cmh Macomb $316 5%
Cmh Misc $316 5%
Cmh Monroe County $316 5%
Cmh Montcalm County $316 5%
Cmh Muskegon County $316 5%
Cmh Newaygo County $316 5%
Cmh North Country $316 5%
Cmh Northern Lakes County $316 5%
Cmh Oakland County $316 5%
Cmh Ottawa County $316 5%
Cmh Van Buren County $316 5%
Cmh Washtenaw County $316 5%
Cmh Wayne County/Carelink $316 5%
Cmh Wayne Cty/Com Liv Svcs $316 5%
Cmh West Mi County $316 5%
Community Benefit Health $316 5%
Community Care Behavorial Health $316 5%
Community Care Partners $316 5%
Community Health Choice $316 5%
Connections Csp $316 5%
County Coroner $316 5%
County Funding Generic $316 5%
Covid19 Hrsa Uninsured Testing And Treatment Fund $316 5%
Dean Wi Badgercare $316 5%
Delaware County Department Of Health $316 5%
Delta Dental Nj $316 5%
Dph Tb Program $316 5%
Dscc $316 5%
Eastpointe Lme $316 5%
Family Health Network $316 5%
Freedom First Healthcare $316 5%
Fresno County Ccs $316 5%
Ghc Scw Wi Badgercare $316 5%
Harbor Health $316 5%
Health Safety Net $316 5%
Healthy Blue Ne $316 5%
Hennepin Health $316 5%
Id County Ada $316 5%
Id County Canyon $316 5%
Id County Cat Fund $316 5%
Id County Other $316 5%
Id County Payette $316 5%
Idaho Dept Health And Wellfare $316 5%
Idaho Womens Health Check $316 5%
Indiana Breast Cervical Cancer $316 5%
Inland Empire Health Plan $316 5%
Intercommunity Health Ohp $316 5%
Iowa Total Care $316 5%
Jai Medical System $316 5%
Kern Family Health Plan $316 5%
Keystone First $316 5%
Keystone First Chip $316 5%
La Care Health Plan $316 5%
Lakeland Care Inc $316 5%
Managed Health Services - Indiana $316 5%
Maryland Breast & Cervical Program $316 5%
Maryland Healthy Smiles - Scion Dental $316 5%
Maryland Physicians Care $316 5%
Massachusetts Behavioral Health Partnership $316 5%
Mdwise $316 5%
Medi-Cal $316 5%
Medi-Cal Healthnet $316 5%
Medstar Dc Healthy Family $316 5%
Medstar Md Health Choice $316 5%
Mo Home State Health Plan $316 5%
Molina Centennial Care $316 5%
Nascentia Health Options $316 5%
Nebraska Total Care $316 5%
New York Cancer Services Program $316 5%
Nextlevel Health $316 5%
Oregon Screenwise $316 5%
Paramount Advantage $316 5%
Parkland Community Health Plan $316 5%
Partners Behavioral Lme $316 5%
Peach State Healthplan $316 5%
Philadelphia County Funding $316 5%
Presbyterian Centennial Care $316 5%
Prestige Health Choice $316 5%
Priority Partners $316 5%
Robert F Sing Program $316 5%
Rx 340B Pass Along $316 5%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $316 5%
Rx Medi-Cal $316 5%
Rx Meridian Rx $316 5%
Ryan White Florida Mssrp $316 5%
Sandhills Center Lme $316 5%
Screening For Life $316 5%
St Joseph County Hlth Dpt $316 5%
Stephenson Cty Health $316 5%
Sunshine State Health Plan $316 5%
Superior Health $316 5%
Tenncare $316 5%
Texas Children'S Health Plan $316 5%
Trillium Community Ohp $316 5%
Tufts Health Public Plans $316 5%
Vaya Health Lme $316 5%
Washtenaw Health Plan $316 5%
Wellsense Health Plan $316 5%
Wi Womens Wellness $316 5%
Bcn Domestic $362 6%
Blue Benefit Administrators Of Massachusetts $362 - $4,321 6%
Blue Care Network $362 - $4,321 6%
Blue Distinction Transplant $362 - $4,321 6%
Blue Shield - Ca $362 - $4,321 6%
Blue Shield - Id (Regence) $362 - $4,321 6%
Blue Shield - Ny Highmark Northeastern $362 - $4,321 6%
Blue Shield - Ny Highmark Western $362 - $4,321 6%
Blue Shield - Pa (Highmark) $362 - $4,321 6%
Blue Shield - Wa (Regence) $362 - $4,321 6%
Health Choices $362 6%
Kaiser Domestic $362 6%
Pre-Employment $362 6%
Wc Domestic $362 6%
Delaware First Health $380 6%
First Health $389 6%
Saint Francis Life $2,608 42%
Amerihealth $37,983 615%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7Th and Clayton Sts, Wilmington, DE 19805
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals