CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Witham Health Services

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $2,326
Cash Discount Price: $1,341
vs. Medicare Baseline: 0.38x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Witham Health Services is $2,326. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,341. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.38x the Medicare baseline. Located in 2605 N Lebanon St, Lebanon, IN.

Cash / Self-Pay

$1,341

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,326

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: $1,341 (22%)

Insurance Median: $2,326 (38%)

Cash: $1,341 (22% of Medicare)

Ins. Median: $2,326 (38% 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
Blue Cross Blue Shield	$358 - $6,396	6%
Aetna	$427 - $6,588	7%
UnitedHealthcare	$450 - $2,539	7%
Phcs/Multiplan-All Plans	$526 - $2,962	9%
Sagamore-All Plans	$531 - $2,995	9%
Humana	$537 - $3,027	9%
Beech Street-All Plans	$543 - $3,060	9%
Encore-All Plans	$549 - $3,092	9%
Mhs Comml Exch-All Plans	$1,444 - $8,138	23%
Mdwise Health In-All Plans	$6,396	104%
Caresource Mcr Adv	$6,524	106%
Caresource Indiana Marketplace-All Other Plans	$12,153	197%

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 $1,341.
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 Witham Health Services 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.