CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Penobscot Valley Hospital

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$789

about 0.1× the $6,176 Medicare rate · typically $645–$1,771

modeled estimate · not a bill or quote

Medicare pays $6,176 Fair price $789 Cash price $1,145 Hospital's list price $1,431

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$105 - $1,111	2%
Blue Cross Blue Shieldmajor	$108 - $809	2%
Aetnamajor	$107 - $2,269	2%
Cignamajor	$533 - $2,222	9%
Humanamajor	$105 - $663	2%
Harvard Pilgrim	$541 - $2,258	9%
WellCare	$92 - $576	1%

Government programs also on file: Medicare.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,145), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 47562.

Insurance Before you use insurance

Call your insurance company to confirm Penobscot Valley Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 47562.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Penobscot Valley Hospital

Compare: Gallbladder removal (laparoscopic) at other ME hospitals

Lincolnhealth · Damariscotta $1,164
Mainehealth Stephens Hospital · Norway $1,164
Mainehealth Franklin Hospital · Farmington $1,195
Mainehealth Mid Coast Hospital · Brunswick $1,275
Mainehealth Pen Bay Hospital · Rockport $1,275
Mainehealth Maine Medical Center · Portland $1,280
Redington Fairview General Hospital · Skowhegan $3,238
St Mary's Regional Medical Center · Lewiston $5,697

Insurance negotiated median for the same procedure, sorted lowest first.