CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Presence Mercy Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,447
  • Cash Discount Price: $6,446
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Presence Mercy Medical Center is $6,447. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,446. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.04x the Medicare baseline. Located in 1325 N Highland Avenue, Aurora, IL.
Cash / Self-Pay
$6,446

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,447

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: $6,446 (104%)
Insurance Median: $6,447 (104%)
Cash: $6,446 (104% of Medicare)
Ins. Median: $6,447 (104% 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
Ravenswood Physicians Associates Ipa $709 - $6,447 11%
Resurrection Physicians Provider Group Ipa $709 - $6,447 11%
Cigna $1,467 - $6,447 24%
Standard Eapg Logic - Contracts $4,309 70%
Aetna $4,312 - $6,769 70%
Blue Cross Blue Shield $4,312 - $9,025 70%
Humana $4,312 - $7,091 70%
Medicaid / KanCare $4,312 - $4,527 70%
Harmony Health Plan $4,527 - $6,834 73%
Meridian $4,527 - $6,769 73%
Molina $4,527 - $9,670 73%
Advocate Helath Partners $6,447 - $7,091 104%
Celtic (Wellcare) $6,447 104%
Clear Spring Health Of Illinois $6,447 104%
Devoted Health $6,447 104%
Essential Health Partners $6,447 - $7,414 104%
Health Alliance Medical Plan $6,447 104%
Longevity Health Plan Of Illinois $6,447 104%
Medicare (plans) $6,447 104%
Self-Pay $6,447 104%
Tricare $6,447 104%
United Behavioral Health $6,447 104%
UnitedHealthcare $6,447 - $14,254 104%
Zing Health Provider Network $6,640 108%
Provider Partners Health Plan (Pphp) $6,769 110%
Access Community Health Network $7,736 125%
Clifton Health Systems $9,992 162%
Ambetter / Centene $10,444 169%
Hfn Inc (Healthcare Finest Network) $12,499 202%
Corvel $12,768 207%
Coventry $12,768 207%
Workers Comp $12,768 207%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1325 N Highland Avenue, Aurora, IL 60506
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals