CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Northwestern Memorial Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $11,302
Cash Discount Price: $23,232
vs. Medicare Baseline: 1.83x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Northwestern Memorial Hospital is $11,302. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23,232. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.83x the Medicare baseline. Located in 251 E Huron St, Chicago, IL.

Cash / Self-Pay

$23,232

Average discount available for prompt cash payment at this facility.

Insurance Median

$11,302

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: $23,232 (376%)

Insurance Median: $11,302 (183%)

Cash: $23,232 (376% of Medicare)

Ins. Median: $11,302 (183% 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
Curaechoice [6100]	$2,663 - $5,289	43%
Cigna	$4,227 - $22,604	68%
Aetna	$4,385 - $22,604	71%
Imagine Health [6032]	$6,103	99%
Healthlink [125]	$6,260 - $22,604	101%
UnitedHealthcare	$7,941 - $22,604	129%
Humana	$9,042 - $11,302	146%
Blue Cross Blue Shield	$10,172 - $22,604	165%
Global Medical Management Inc [6090]	$13,110	212%
Health'S Finest Network [126]	$14,693 - $19,213	238%
Medpartners [6038]	$15,823	256%
Multiplan/Phcs [142]	$18,083 - $22,604	293%
First Health Plan [6034]	$22,604	366%
Galaxy Health Network [220]	$22,604	366%

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 $23,232.
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 Memorial 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.