CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Marshall Browning Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $881
Cash Discount Price: $3,749
vs. Medicare Baseline: 0.14x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Marshall Browning Hospital is $881. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,749. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.14x the Medicare baseline. Located in 900 North Washington Street, Du Quoin, IL.

Cash / Self-Pay

$3,749

Average discount available for prompt cash payment at this facility.

Insurance Median

$881

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: $3,749 (61%)

Insurance Median: $881 (14%)

Cash: $3,749 (61% of Medicare)

Ins. Median: $881 (14% 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
Humana	$632	10%
Aetna	$661 - $1,749	11%
Blue Cross Blue Shield	$665 - $1,749	11%
Health Alliance Mcr Adv	$665	11%
UnitedHealthcare	$665 - $1,085	11%
Wellcare Mcr Adv - All Plans	$665	11%
Cigna	$765	12%
Health Alliance - All Other Plans	$997	16%
Hope Trust - All Plans	$1,495	24%
Meridian Hp Mcaid - All Plans	$1,749	28%
Molina Mcaid - All Plans	$1,749	28%
Multiplan/Phcs - All Plans	$4,284	69%
Zelis - All Plans	$4,820	78%

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 $3,749.
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 Marshall Browning 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.