CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Gibson General Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $823
Cash Discount Price: $1,017
vs. Medicare Baseline: 0.13x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Gibson General Hospital is $823. 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 0.13x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.

Cash / Self-Pay

$1,017

Average discount available for prompt cash payment at this facility.

Insurance Median

$823

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: $823 (13%)

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

Ins. Median: $823 (13% 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
Aetna	$588 - $1,962	10%
Blue Cross Blue Shield	$588 - $892	10%
Caresource Just For Me	$588	10%
Medicare (plans)	$588	10%
Meridiancomplete (Il)	$588	10%
Mytruadvantage	$588	10%
UnitedHealthcare	$588 - $1,147	10%
Va Ccn	$588	10%
Caresource	$590	10%
Mdwise Plans	$590	10%
Mhs	$590	10%
Medicaid / KanCare	$648	10%
Meridiancare (Il)	$648	10%
Meridianhealth (Il)	$648	10%
Ambetter / Centene	$735	12%
Caresource In Marketplace	$764	12%
Alliance Coal	$823	13%
Claimdoc	$823	13%
Hopetrust	$881	14%
Hstechnology	$881	14%
Encircle/Encore Combined	$930	15%
Encircle/Encore Prime	$930	15%
Noncontracted	$940	15%
Deaconess Onecare	$970 - $12,466	16%
Ky Racing Health & Welfare Fund	$1,017	16%
Self-Pay	$1,017	16%
Chambercare	$1,744	28%
Cigna	$1,962	32%
First Health	$1,962	32%
Healthlink Hmo	$1,962	32%
Healthlink Ppo	$1,962	32%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+)	$1,962	32%
Gibson County Sheriff	$2,470	40%
Integrated Health	$2,615	42%
Principal Health Care	$2,615	42%

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 Gibson General 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.