CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Lutheran Hospital of Indiana

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $751
  • Cash Discount Price: $444
  • vs. Medicare Baseline: 0.12x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Lutheran Hospital of Indiana is $751. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $444. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.12x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$444

Average discount available for prompt cash payment at this facility.

Insurance Median
$751

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: $444 (7%)
Insurance Median: $751 (12%)
Cash: $444 (7% of Medicare)
Ins. Median: $751 (12% 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
Physicians Health Plan Of Northern Indiana $93 - $25,743 2%
Ky Work Comp $95 - $16,430 2%
Amish Aid $113 - $19,562 2%
Lutheran Preferred Network $113 - $39,123 2%
Self Pay $113 - $19,562 2%
Cigna $122 - $23,670 2%
Php Freedom Network $125 - $21,642 2%
Blue Cross Blue Shield $140 - $26,286 2%
Aetna $151 - $31,038 2%
Lutheran Preferred $151 - $26,082 2%
Sagamore $172 - $35,276 3%
Encore Ppo $185 - $31,885 3%
Lutheran Network $189 - $32,603 3%
Multiplan $276 - $54,121 4%
Prime Health Services $284 - $48,904 5%
Encore Health Network $310 - $58,685 5%
Advantage Health Solutions $314 - $54,121 5%
Allied Benefit Systems $340 - $58,685 6%
Evolutions $340 - $58,685 6%
Veterans Eval Services $378 - $588 6%
One Call Care Diagnostics $571 9%
Care Source $4,211 68%
Humana $4,211 - $6,294 68%
Managed Health Services $4,211 - $12,792 68%
Medicaid / KanCare $4,211 68%
UnitedHealthcare $4,211 - $11,384 68%
Iu Health Plan $6,294 102%
Medicare (plans) $6,294 102%
Node Hospice Non Par Agree $6,396 104%
Node Va $6,396 104%
Node Devoted Health Mcr Adv $6,420 104%
In Dept Of Correction $6,652 108%
Node Pphp Mcr Adv $6,716 109%
Tricare $7,697 125%
Us Department Of Labor $7,995 129%
Department Of Veterans Affairs $8,103 131%
Lutheran Advanced Network $9,594 155%
Node Lutheran Network $9,594 - $11,193 155%
Node Lutheran Preferred Fixed 2 $9,594 155%
Align Network $10,234 166%
Encore Work Comp In $11,513 186%
Node Encore Kba Epo $15,351 249%
Node Encore Kba Ppo $19,189 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals