CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Goshen Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $5,627
Cash Discount Price: $28,446
vs. Medicare Baseline: 0.91x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Goshen Hospital is $5,627. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28,446. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.91x the Medicare baseline. Located in 200 High Park Ave, Goshen, IN.

Cash / Self-Pay

$28,446

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,627

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: $28,446 (461%)

Insurance Median: $5,627 (91%)

Cash: $28,446 (461% of Medicare)

Ins. Median: $5,627 (91% 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
Advantage Health Solutions	$5,627	91%
Aetna	$5,627	91%
Atrio Health Plans	$5,627	91%
Bc Federal Employee	$5,627	91%
Bc Mcr Advantage Ppo	$5,627	91%
Blue Cross Blue Shield	$5,627	91%
Buckeye Health Plan	$5,627	91%
Cigna	$5,627	91%
Coventry Health And Life	$5,627	91%
Emblem Health	$5,627	91%
Freedom Healthcare	$5,627	91%
Geisinger Health Plan	$5,627	91%
Health First	$5,627	91%
Healthspring	$5,627	91%
Humana	$5,627	91%
Iehp Empire Health Plan	$5,627	91%
Independent Care Health Plan	$5,627	91%
Kaiser Permanente	$5,627	91%
Mcr Advantra Freedom	$5,627	91%
Mcr Allwell Mhs	$5,627	91%
Mcr Banner Health	$5,627	91%
Mcr Complete	$5,627	91%
Mcr Complete Ppo	$5,627	91%
Mcr Complete Wellmed	$5,627	91%
Mcr Health Alliance	$5,627	91%
Mcr Health Partners Plans	$5,627	91%
Mcr Medical Mutual Of Ohio	$5,627	91%
Mcr Passport Advantage	$5,627	91%
Mcr Secure Horizons Ppo	$5,627	91%
Mcr Texan Plus	$5,627	91%
Mcr Upmc For Life	$5,627	91%
Medicare (plans)	$5,627 - $5,964	91%
Meridian Complete	$5,627	91%
Optimum Healthcare	$5,627	91%
Paramount Elite	$5,627	91%
Primetime Health Plan	$5,627	91%
Simply Complete Hmo	$5,627	91%
The Umwa H&R Funds	$5,627	91%
Todays Options Pyramid Life	$5,627	91%
Trillium Advantage	$5,627	91%
Ucare For Seniors	$5,627	91%
Ucare Minnesota	$5,627	91%
UnitedHealthcare	$5,627	91%
Wellcare	$5,627	91%
Champva	$5,790	94%
Tricare	$5,790	94%
Mcr Devoted Health Plan	$5,964	97%
Mcr Provider Partners Hlth Pln	$6,369	103%
Ambetter / Centene	$8,107	131%
Mkt Caresource	$8,107	131%

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 $28,446.
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 Goshen 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.