CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Ascension St Vincent Salem

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $892
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.14x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Ascension St Vincent Salem is $892. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.14x the Medicare baseline. Located in 911 N Shelby St, Salem, IN.
Cash / Self-Pay
Unavailable

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%)
Insurance Median: $892 (14%)
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
UnitedHealthcare $164 - $2,649 3%
Blue Cross Blue Shield $453 - $2,649 7%
Medicaid / KanCare $453 7%
Mhs Care Connect $453 7%
Encore Exclusive $892 14%
Patoka Valley Tier 1 $892 14%
Patoka Valley Tier 2 $892 14%
Aetna $2,649 43%
Ambetter / Centene $2,649 43%
Ascension Complete Mcr $2,649 43%
Caresource Marketplace $2,649 43%
Corizon $2,649 43%
Humana $2,649 43%
Immergrun $2,649 43%
Medicare (plans) $2,649 43%
Personalized Care $2,649 43%
Secure Horizons-Pacificare $2,649 43%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 911 N Shelby St, Salem, IN 47167
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals