CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Fayette County Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,539
Cash Discount Price: $3,286
vs. Medicare Baseline: 0.25x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Fayette County Hospital is $1,539. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,286. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.25x the Medicare baseline. Located in 650 W Taylor St, Vandalia, IL.

Cash / Self-Pay

$3,286

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,539

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: $3,286 (53%)

Insurance Median: $1,539 (25%)

Cash: $3,286 (53% of Medicare)

Ins. Median: $1,539 (25% 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	$661 - $1,749	11%
Health Alliance Mcare	$665	11%
Healthlink Mcr Adv	$665	11%
Cigna	$755	12%
Coventry/Ghp-All Plans	$930	15%
Blue Cross Blue Shield	$1,203 - $1,749	19%
Multiplan - All Plans	$1,230	20%
Health Alliance - All Other Plans	$1,329	22%
Illinicare - All Plans	$1,749	28%
Medicaid / KanCare	$1,749	28%
Meridian-All Plans	$1,749	28%
UnitedHealthcare	$2,727	44%
Healthlink Hmo	$2,826	46%
Healthlink Ppo - All Other Plans	$2,826	46%

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 $3,286.
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 Fayette County 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.