CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: St Luke's Nampa Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $12,483
Cash Discount Price: $17,022
vs. Medicare Baseline: 2.02x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at St Luke's Nampa Medical Center is $12,483. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $17,022. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 2.02x the Medicare baseline. Located in 9850 West St Lukes Drive, Nampa, ID.

Cash / Self-Pay

$17,022

Average discount available for prompt cash payment at this facility.

Insurance Median

$12,483

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: $17,022 (276%)

Insurance Median: $12,483 (202%)

Cash: $17,022 (276% of Medicare)

Ins. Median: $12,483 (202% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 202% of the Medicare baseline (a markup of 102%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
UnitedHealthcare	$6,414 - $15,509	104%
Blue Cross Blue Shield	$9,247 - $21,853	150%
Commercial [1028]	$9,247 - $21,853	150%
Mountain Health Co-Op [1067]	$9,247 - $12,294	150%
Pacificsource [1020]	$9,247 - $14,185	150%
Select Health [1063]	$9,247 - $18,524	150%
Slplan Tap Mc St Lukes Health Plan [1641000001]	$9,247 - $18,524	150%
St Lukes Health Plan [1046]	$9,247 - $18,524	150%
Aetna	$12,105 - $17,022	196%
Cigna	$12,105 - $15,131	196%
Providence [1022]	$12,105 - $15,131	196%
Webtpa [1071]	$12,105 - $16,077	196%
Geha [1065]	$12,407 - $15,509	201%
United Medical Resources [1051]	$12,407 - $15,509	201%
First Health [1064]	$12,483 - $16,077	202%
Moda [1055]	$13,315 - $16,644	216%
Blue Shield Alt [100401]	$17,482 - $21,853	283%
Regence Out Of State [1004]	$17,482 - $21,853	283%
Regence [1005]	$17,482 - $21,853	283%

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 $17,022.
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 St Luke's Nampa Medical Center 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.