CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Saint Francis Hospital-Evanston

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$6,442

about 1.0× the $6,176 Medicare rate · typically $5,199–$7,169

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,447

About the fair price

about $5 over the fair price · 1.0× Medicare

Medicare pays $6,176 Fair price $6,442 This hospital $6,447 Cash price $6,446 Hospital's list price $30,198

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 $6,447

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 $6,442 (about 1.0× the $6,176 Medicare rate). Saint Francis Hospital-Evanston charges insurers about $6,447, or about $6,446 in cash — about the fair price. Located in Evanston, 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	$6,447 - $14,254	104%
Blue Cross Blue Shieldmajor	$4,312 - $9,025	70%
Aetnamajor	$4,312 - $12,768	70%
Cignamajor	$1,467 - $6,447	24%
Humanamajor	$4,312 - $7,091	70%
Ambetter (Centene)	$10,444	169%
Devoted Health	$6,447	104%
Health Net	$7,736	125%
HealthPartners	$6,447 - $7,414	104%
Meridian	$4,527 - $6,769	73%
Molina	$4,527 - $9,670	73%
WellCare	$6,447	104%
+ 10 smaller / regional plans	$751 - $9,992

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 2 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 6,446), 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 Saint Francis Hospital-Evanston 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 Saint Francis Hospital-Evanston

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.