CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: UW Health

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $664
Cash Discount Price: $572
vs. Medicare Baseline: 0.11x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at UW Health is $664. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $572. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.11x the Medicare baseline. Located in 1401 East State Street, Rockford, IL.

Cash / Self-Pay

$572

Average discount available for prompt cash payment at this facility.

Insurance Median

$664

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: $572 (9%)

Insurance Median: $664 (11%)

Cash: $572 (9% of Medicare)

Ins. Median: $664 (11% 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
UnitedHealthcare	$629 - $1,168	10%
Aetna	$648 - $1,095	10%
Blue Cross Blue Shield	$648 - $3,577	10%
Medicaid / KanCare	$648	10%
Humana	$664	11%
Medicare (plans)	$664 - $730	11%
Mychoice Wi Medical Adv	$664	11%
Quartz Fully Insured	$1,068 - $1,334	17%
Alliance Premier Network	$1,110 - $1,306	18%
Hfn	$1,113 - $1,739	18%
The Alliance	$1,195 - $1,406	19%
Quartz Aso	$1,205 - $1,507	20%
Ecoh	$1,210 - $1,739	20%
Cigna	$1,243	20%
Wps	$1,788	29%
Beloit Healt System	$2,075	34%
Mercy Care	$2,504	41%
Workers Comp	$3,096	50%

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 $572.
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 UW Health 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.