CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Atrium Health Navicent the Medical Center

Billing Code: 47562 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,522

about 0.6× the $6,176 Medicare rate · typically $1,519–$6,455

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,480

Below the fair price — a good deal

about $2,042 under the fair price · 0.2× Medicare

Medicare pays $6,176 Fair price $3,522 This hospital $1,480

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

A typical price — 4 charge more and 3 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 $3,522 (about 0.6× the $6,176 Medicare rate). Atrium Health Navicent the Medical Center charges insurers about $1,480 — below the fair price — a good deal. Located in Macon, 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	$633 - $5,685	10%
Blue Cross Blue Shieldmajor	$633 - $5,685	10%
Aetnamajor	$633 - $5,685	10%
Cignamajor	$1,214 - $6,480	20%
Humanamajor	$633 - $10,061	10%
Kaiser Permanentemajor	$1,626 - $13,697	26%
Ambetter (Centene)	$855	14%
Clover Health	$646 - $5,799	10%
+ 6 smaller / regional plans	$633 - $5,799

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, 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 Atrium Health Navicent the Medical Center 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 Atrium Health Navicent the Medical Center

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 Rehabilitation Hopsital · Macon $1,480
Northside Hospital Forsyth · Cumming $1,663
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.