CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Northside Hospital Forsyth

Billing Code: 47562 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,264

about 0.5× the $6,176 Medicare rate · typically $1,449–$5,785

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,663

Below the fair price — a good deal

about $1,601 under the fair price · 0.3× Medicare

Medicare pays $6,176 Fair price $3,264 This hospital $1,663 Cash price $1,509 Hospital's list price $2,012

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

A typical price — 3 charge more and 5 charge less, among the 9 GA hospitals compared.

Cheapest $988 Priciest $2,344

Black dot = this hospital, among the 9 GA hospitals with a price for this procedure. Full list below.

A fair price for a Gallbladder removal (laparoscopic) is about $3,264 (about 0.5× the $6,176 Medicare rate). Northside Hospital Forsyth charges insurers about $1,663, or about $1,509 in cash — below the fair price — a good deal. Located in Cumming, GA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

6 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana✓ Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$654 - $18,613	11%
Blue Cross Blue Shieldmajor	$654 - $34,850	11%
Aetnamajor	$654 - $30,000	11%
Cignamajor	$673 - $13,531	11%
Humanamajor	$654 - $6,284	11%
Kaiser Permanentemajor	$654 - $9,192	11%
Ambetter (Centene)	$597 - $9,299	10%
Amerigroup	$597 - $7,112	10%
CareSource	$597 - $18,600	10%
Clover Health	$686 - $6,343	11%
Health Net	$1,111 - $10,598	18%
Oscar Health	$883 - $9,408	14%
WellCare	$654 - $6,224	11%
+ 16 smaller / regional plans	$686 - $50,000

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,509), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 47562.

Insurance Before you use insurance

Call your insurance company to confirm Northside Hospital Forsyth is in-network.
Ask your insurer whether prior approval is required for CPT code 47562.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Northside Hospital Forsyth

Compare: Gallbladder removal (laparoscopic) at other GA hospitals

Jeff Davis Hospital · Hazlehurst $988
Northside Hospital Duluth · Duluth $1,396
Navicent Health Baldwin · Milledgeville $1,459
Atrium Health Navicent the Medical Center · Macon $1,480
Atrium Health Navicent Rehabilitation Hopsital · Macon $1,480
Northside Hospital Cherokee · Canton $1,676
Northside Hospital · Atlanta $1,676
Morgan Medical Center · Madison $2,344

Insurance negotiated median for the same procedure, sorted lowest first.