CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Saint Joseph Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $9,594
  • Cash Discount Price: $30,772
  • vs. Medicare Baseline: 1.55x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Saint Joseph Regional Medical Center is $9,594. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $30,772. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.55x the Medicare baseline. Located in 5215 Holy Cross Pkwy, Mishawaka, IN.
Cash / Self-Pay
$30,772

Average discount available for prompt cash payment at this facility.

Insurance Median
$9,594

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: $30,772 (498%)
Insurance Median: $9,594 (155%)
Cash: $30,772 (498% of Medicare)
Ins. Median: $9,594 (155% 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.

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 $3,311 - $9,914 54%
Blue Cross Blue Shield $3,311 - $22,582 54%
Medicaid / KanCare $3,311 - $4,211 54%
UnitedHealthcare $3,311 - $6,394 54%
Managed Health Services - Indiana $4,211 68%
Mdwise $4,211 68%
Medicare (plans) $6,396 - $6,524 104%
Meridian Complete $6,396 104%
Pace-Trinity Health $6,396 104%
County Coroner $6,652 108%
Provider Partners Health Plan Of Indiana $7,036 114%
Auxiant $9,594 - $13,752 155%
Physicians Health Plan Northern Indiana Health Insurance $9,594 - $19,317 155%
St Joseph County Hlth Dpt $9,594 155%
Caresource $9,914 161%
Siho Insurance Services $10,234 166%
Key Benefit Administrator $11,513 - $13,752 186%
Allied Benefit Systems $12,153 197%
Custom Design Benefits $13,752 223%
Blue Benefit Administrators Of Massachusetts $22,582 366%
Blue Care Network $22,582 366%
Blue Distinction Transplant $22,582 366%
Blue Shield - Ca $22,582 366%
Blue Shield - Id (Regence) $22,582 366%
Blue Shield - Ny Highmark Northeastern $22,582 366%
Blue Shield - Ny Highmark Western $22,582 366%
Blue Shield - Pa (Highmark) $22,582 366%
Blue Shield - Wa (Regence) $22,582 366%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5215 Holy Cross Pkwy, Mishawaka, IN 46545
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals