CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Rush Memorial Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $446
  • Cash Discount Price: $499
  • vs. Medicare Baseline: 0.07x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Rush Memorial Hospital is $446. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $499. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.07x the Medicare baseline. Located in 1300 N Main St, Rushville, IN.
Cash / Self-Pay
$499

Average discount available for prompt cash payment at this facility.

Insurance Median
$446

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: $499 (8%)
Insurance Median: $446 (7%)
Cash: $499 (8% of Medicare)
Ins. Median: $446 (7% 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
Health Net $196 3%
Caresource Mcr Adv $206 3%
My True Advantage - All Plans $206 3%
UnitedHealthcare $206 - $532 3%
Aetna $208 - $612 3%
Humana $208 - $612 3%
Blue Cross Blue Shield $212 - $488 3%
Today'S Option Mcr Adv-All Plans $212 3%
Viant Beech St Mcr Adv $212 3%
Caresource Marketplace-All Other Plans $330 5%
Cigna $532 9%
Phcs-All Plans $532 9%
Consumers Life Ins-All Plans $599 10%
Coventry/First Health-All Plans $599 10%
Sagamore-All Plans $612 10%
Siho-All Plans $612 10%
Multiplan-All Plans $619 10%
Community Health Alliance-All Plans $626 10%
Encore Health Services-All Plans $652 11%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1300 N Main St, Rushville, IN 46173
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Local
  • Hospital Type: Critical Access Hospitals