CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Northwestern Medicine Central Dupage Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $13,562
Cash Discount Price: $26,415
vs. Medicare Baseline: 2.20x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Northwestern Medicine Central Dupage Hospital is $13,562. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $26,415. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 2.20x the Medicare baseline. Located in 25 North Winfield Road, Winfield, IL.

Cash / Self-Pay

$26,415

Average discount available for prompt cash payment at this facility.

Insurance Median

$13,562

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: $26,415 (428%)

Insurance Median: $13,562 (220%)

Cash: $26,415 (428% of Medicare)

Ins. Median: $13,562 (220% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 220% of the Medicare baseline (a markup of 120%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$3,232 - $9,675	52%
Cigna	$4,837 - $18,083	78%
Blue Cross Blue Shield	$8,605 - $22,604	139%
Carelon Behavioral Health [159]	$11,302	183%
Health'S Finest Network [126]	$11,302 - $20,615	183%
UnitedHealthcare	$11,347 - $22,604	184%
Multiplan/Phcs [142]	$12,975 - $22,604	210%
Dreyer Med Ipa Advocate [1409]	$13,562	220%
Humana	$13,562 - $22,604	220%
Magellan Behavioral Hlth [136]	$13,562	220%
Healthlink [125]	$14,241	231%
The Alliance [1703]	$14,519	235%
Choicecare [177]	$17,315	280%
First Health Plan [6034]	$17,382	281%
Compsych [112]	$18,083	293%

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 $26,415.
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 Northwestern Medicine Central Dupage Hospital 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.