CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Deaconess Illinois Crossroads

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,758
Cash Discount Price: $1,017
vs. Medicare Baseline: 0.28x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Deaconess Illinois Crossroads is $1,758. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,017. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.28x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.

Cash / Self-Pay

$1,017

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,758

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: $1,017 (16%)

Insurance Median: $1,758 (28%)

Cash: $1,017 (16% of Medicare)

Ins. Median: $1,758 (28% 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
Aetna	$648 - $6,203	10%
Blue Cross Blue Shield	$648 - $6,082	10%
Meridian Health Plan	$648 - $6,082	10%
Molina Healthcare Of Illinois	$648 - $6,143	10%
Wellcare	$648 - $6,082	10%
Humana	$652 - $6,082	11%
Mytru Advantage	$652 - $6,082	11%
Umwa	$652 - $6,082	11%
UnitedHealthcare	$652 - $6,082	11%
Alliance Coal	$900 - $10,035	15%
Self-Pay	$1,017	16%
Alter-Net Medical Services, Inc.	$1,043 - $17,333	17%
Noncontracted	$1,043 - $9,731	17%
Cigna	$1,130	18%
Deaconess Onecare	$1,336	22%
Prime Health Services	$2,180	35%
Guardian Resources, Inc.	$2,441	40%
Healthcare'S Finest Network (Hfn)	$2,470	40%
Medicalcontrol Network Solutions	$2,470	40%
National Provider Network	$2,470	40%
Three Rivers Provider Network	$2,528	41%
Beech Street	$2,557	41%
Care Improvement Plus	$6,203	100%
Hope Trust	$17,333	281%

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 $1,017.
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 Deaconess Illinois Crossroads 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.