CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Saint Joseph's Hospital of Atlanta, Inc

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $6,654
Cash Discount Price: $16,385
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Saint Joseph's Hospital of Atlanta, Inc is $6,654. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,385. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.08x the Medicare baseline. Located in 5665 Peachtree Dunwoody Road, Atlanta, GA.

Cash / Self-Pay

$16,385

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,654

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: $16,385 (265%)

Insurance Median: $6,654 (108%)

Cash: $16,385 (265% of Medicare)

Ins. Median: $6,654 (108% 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
Blue Cross Blue Shield	$4,962 - $7,973	80%
Aetna	$5,730 - $6,654	93%
Devoted Health	$6,141	99%
Kaiser	$6,187	100%
Cigna	$6,325 - $11,385	102%
Clover Health	$6,448	104%
Wellcare	$6,509	105%
Oscar Health	$7,118	115%
UnitedHealthcare	$7,797 - $9,172	126%
Humana	$10,848	176%
Ambetter / Centene	$13,018	211%

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 $16,385.
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 Saint Joseph's Hospital of Atlanta, Inc 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.