CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Pulaski Memorial Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,546
Cash Discount Price: $2,430
vs. Medicare Baseline: 0.25x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Pulaski Memorial Hospital is $1,546. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,430. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.25x the Medicare baseline. Located in 616 E 13Th St, Winamac, IN.

Cash / Self-Pay

$2,430

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,546

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: $2,430 (39%)

Insurance Median: $1,546 (25%)

Cash: $2,430 (39% of Medicare)

Ins. Median: $1,546 (25% 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
UnitedHealthcare	$533 - $5,706	9%
Ambetter / Centene	$571 - $1,769	9%
Blue Cross Blue Shield	$571 - $5,706	9%
Caresource Mcaid Hip	$571 - $1,769	9%
Caresource Mcare Hmo	$571 - $1,769	9%
Cenpatico Mcaid Hip	$571 - $1,769	9%
Humana	$571 - $4,587	9%
Mhs Mcaid Hip	$571 - $1,769	9%
Mhs Mcare Allwell	$571 - $1,786	9%
Multiplan - All Plans	$571 - $5,135	9%
Caresource Mcaid Hhw	$588 - $5,706	10%
Cenpatico Mcaid Hhw - All Other Plans	$588 - $5,706	10%
Mhs Mcaid Hhw/Hcc	$588 - $5,706	10%
Mdwise Mcaid Hcc	$590 - $5,706	10%
Mdwise Mcaid Hhw	$590 - $5,706	10%
Mdwise Mcaid Hip - All Other Plans	$590 - $1,769	10%
Caresource Exch Hmo Hix - All Other Plans	$714 - $2,211	12%
Encore Ppo - All Other Plans	$771 - $4,850	12%
Cigna	$934 - $5,420	15%
Sagamore - All Other Plans	$934 - $4,314	15%
Sagamore Rose Acre	$934 - $4,251	15%
Encore Workers Comp	$1,112 - $5,135	18%
Community Health Alliance - All Plans	$1,324 - $5,078	21%
Aetna	$2,054	33%

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 $2,430.
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 Pulaski Memorial 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.