CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Memorial Hospital and Health Care Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,204
Cash Discount Price: $1,017
vs. Medicare Baseline: 0.19x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Memorial Hospital and Health Care Center is $1,204. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,017. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.19x the Medicare baseline. Located in 800 W 9Th St, Jasper, IN.

Cash / Self-Pay

$1,017

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,204

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: $1,017 (16%)

Insurance Median: $1,204 (19%)

Cash: $1,017 (16% of Medicare)

Ins. Median: $1,204 (19% 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	$468 - $6,112	8%
Aetna	$588 - $6,112	10%
Caresource In Marketplace	$588 - $7,640	10%
Humana	$588 - $6,112	10%
Tricare	$588 - $5,195	10%
Mdwise	$590	10%
Mhs Hoosier Care Connect	$590	10%
Immergrun	$705 - $7,334	11%
Ambetter / Centene	$764 - $7,946	12%
Patoka Valley	$820	13%
Noncontracted	$940 - $9,779	15%
Onecare	$970	16%
Siho	$970	16%
Chamber Care	$990	16%
UnitedHealthcare	$1,147 - $18,336	19%
Encore	$1,642	27%
Encore Elite +	$1,642 - $14,669	27%
Cigna	$1,962	32%
Sagamore	$1,962	32%

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 $1,017.
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 Memorial Hospital and Health Care Center 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.