CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: St Anthonys Memorial Hospital

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$6,675

about 1.1× the $6,176 Medicare rate · typically $6,309–$7,106

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,514

About the fair price

about $161 under the fair price · 1.1× Medicare

Medicare pays $6,176 Fair price $6,675 This hospital $6,514 Cash price $10,025 Hospital's list price $13,924

How we calculate the fair BaseRate →

How this hospital compares to other IL hospitals

Highest price of the 9 IL hospitals we have prices for — worth calling around.

Cheapest $877 Priciest $6,514

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

A fair price for a Gallbladder removal (laparoscopic) is about $6,675 (about 1.1× the $6,176 Medicare rate). St Anthonys Memorial Hospital charges insurers about $6,514, or about $10,025 in cash — about the fair price. Located in Effingham, IL.

What each insurance company pays

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

5 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	$6,514 - $13,924	105%
Blue Cross Blue Shieldmajor	$6,514 - $13,924	105%
Aetnamajor	$6,514 - $9,802	105%
Cignamajor	$11,000 - $13,924	178%
Humanamajor	$6,514	105%
HealthLink	$11,069 - $13,924	179%
HealthPartners	$6,514	105%
Meridian	$3,275 - $4,913	53%
Molina	$3,126 - $6,818	51%
+ 18 smaller / regional plans	$3,899 - $13,924

Excludes 5 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 10,025), 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 St Anthonys Memorial Hospital 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 St Anthonys Memorial Hospital

Compare: Gallbladder removal (laparoscopic) at other IL hospitals

John H Stroger Jr Hospital · Chicago $877
Hammond Henry Hospital · Geneseo $897
University of Illinois Hospital and Clinics · Chicago $963
Deaconess Illinois Crossroads · Mount Vernon $1,043
UW Health · Rockford $1,081
Fayette County Hospital · Vandalia $1,203
Blessing Hospital · Quincy $1,257
Illini Community Hospital · Pittsfield $1,418

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