CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Rush University Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $7,197
Cash Discount Price: $5,814
vs. Medicare Baseline: 1.17x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Rush University Medical Center is $7,197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,814. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.17x the Medicare baseline. Located in 1653 West Congress Parkway, Chicago, IL.

Cash / Self-Pay

$5,814

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,197

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: $5,814 (94%)

Insurance Median: $7,197 (117%)

Cash: $5,814 (94% of Medicare)

Ins. Median: $7,197 (117% 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.

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
Cigna	$3,488 - $11,627	56%
Blue Cross Blue Shield	$3,604 - $11,627	58%
County Care Mcaid - All Plans	$4,309	70%
Meridian Mcaid - All Other Plans	$4,309	70%
Molina Mcaid	$4,568	74%
Aetna	$5,023 - $11,627	81%
UnitedHealthcare	$6,581 - $15,696	107%
Molina Fide-Snp	$6,738	109%
Meridian Dnsp	$6,802	110%
Ambetter / Centene	$8,746	142%
Molina Exch - All Other Plans	$8,811	143%
Devoted Mcr Adv - All Plans	$11,627	188%
Humana	$11,627	188%
Wellcare Mcr Adv - All Plans	$11,627	188%
Zing Hlth Mcr Adv - All Plans	$12,325	200%

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 $5,814.
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 Rush University 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.