CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Doctors Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,834
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Doctors Hospital is $5,834. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.94x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,834

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%)
Insurance Median: $5,834 (94%)
Ins. Median: $5,834 (94% 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
Blue Choice $1,020 - $1,529 17%
Amerigroup $2,365 38%
Peach State $2,375 38%
Wellcare $2,375 38%
Absolute Total Care $2,500 40%
Health One Alliance $3,686 60%
Americas 1St Choice $4,400 71%
Blue Cross Blue Shield $4,704 - $6,228 76%
Cigna $4,738 - $7,829 77%
Nhc Advantage $4,950 80%
Pruitt Health $4,950 80%
Aetna $5,859 - $8,203 95%
Centurion $7,512 122%
United $9,185 149%
Friday Health $12,098 196%
Prime Health $13,794 223%
Rockport United Network $14,082 228%
Identity Mco $14,369 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals