CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Bluffton Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $892
  • Cash Discount Price: $459
  • vs. Medicare Baseline: 0.14x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Bluffton Regional Medical Center is $892. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $459. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.14x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$459

Average discount available for prompt cash payment at this facility.

Insurance Median
$892

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: $459 (7%)
Insurance Median: $892 (14%)
Cash: $459 (7% of Medicare)
Ins. Median: $892 (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.

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
Amish Aid $91 - $11,209 1%
Self Pay $91 - $11,209 1%
Physicians Health Plan $92 - $11,321 1%
Lutheran Preferred Network $113 - $37,363 2%
Php Freedom Network $118 - $14,637 2%
Cigna $120 - $16,533 2%
Php $120 - $14,880 2%
Aetna $137 - $20,830 2%
Php Management Systems $146 - $18,084 2%
Lutheran Trma $151 - $21,017 2%
UnitedHealthcare $177 - $23,072 3%
Encore Ppo $185 - $22,838 3%
Sagamore Sebt $193 - $23,866 3%
Sagamore Health Newtork Inc $203 - $25,033 3%
Consumer Life $234 - $28,957 4%
Ahg Dana Employees $246 - $15,991 4%
Align Networks $265 - $32,693 4%
Prime Health Services $284 - $35,028 5%
Private Healthcare Systems Inc $284 - $35,028 5%
Multiplan $302 - $37,363 5%
Encore Health Network $310 - $42,034 5%
Advantage 360 $314 - $38,764 5%
Community Health Alliance $321 - $39,699 5%
First Health $325 - $40,166 5%
Allied Benefit Systems $340 - $42,034 6%
Cardinal Health Alliance $340 - $42,034 6%
Ppom $340 - $42,034 6%
Veterans Eval Services $378 - $588 6%
Blue Cross Blue Shield $4,211 - $26,286 68%
Caresource $4,211 68%
Humana $4,211 - $6,396 68%
Medicaid / KanCare $4,211 68%
Mhs $4,211 68%
Mhs In Hip $4,211 68%
Tricare $6,076 98%
Medicare (plans) $6,294 102%
Node Iu Health Mcr Adv $6,294 102%
Node Mhs Mcr Adv $6,294 102%
Department Of Veterans Affairs $6,396 104%
Node Non Par Hospice Agree $6,396 104%
Node Va $6,396 104%
Northeast Hospice $6,396 104%
Node Caresource Mcr Adv $6,419 104%
Node Devoted Health Mcr Adv $6,420 104%
County Jail Health Care $6,652 108%
In Dept Of Correction $6,652 108%
Node Pphp Mcr Adv $6,716 109%
Us Department Of Labor $7,995 129%
Lutheran Advanced Network $9,594 155%
Lutheran Three Rivers Preferred Plus 150 $9,594 155%
Lutheran Three Rivers Preferred Plus 175 $11,193 181%
Encore Work Comp In $11,513 186%
Lutheran Northwest Health Preferred $12,792 207%
Managed Health Services Exchange $12,792 207%
Workers Compensation $12,792 207%
Encore Kba Epo $15,351 249%
Encore Kba Ppo $19,189 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals