CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Trinity Health Oakland Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $232
  • Cash Discount Price: $842
  • vs. Medicare Baseline: 0.04x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Trinity Health Oakland Hospital is $232. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $842. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.04x the Medicare baseline. Located in 44405 Woodward Ave, Pontiac, MI.
Cash / Self-Pay
$842

Average discount available for prompt cash payment at this facility.

Insurance Median
$232

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: $842 (14%)
Insurance Median: $232 (4%)
Cash: $842 (14% of Medicare)
Ins. Median: $232 (4% 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

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Mclaren Health $64 - $400 1%
Asr Health Benefits $65 - $1,936 1%
Hap $65 - $1,936 1%
Health Partners $65 - $408 1%
Tufts Health Plan $65 - $408 1%
Varipro $65 - $1,936 1%
1199 National Benefit Fund $74 - $463 1%
Allied National Global Care $74 - $463 1%
Asrm - Reliance Standard Life Insurance $74 - $463 1%
Christian Care Ministry $74 - $463 1%
Dean Health $74 - $463 1%
Fallon Health $74 - $463 1%
Family Life Insurance Company $74 - $463 1%
International Benefit Administrators $74 - $463 1%
Lifetime Benefit Solutions $74 - $463 1%
Manhattan Life $74 - $463 1%
Molina Marketplace $74 - $7,831 1%
Multiplan $74 - $463 1%
Mvp $74 - $463 1%
Pai $74 - $463 1%
Pan-American Life $74 - $463 1%
Phcs $74 - $463 1%
Trinity Health Share $74 - $463 1%
Wellpath $74 - $9,337 1%
Wc Accident Fund $79 - $492 1%
Wc Advantage $79 - $492 1%
Wc Aig $79 - $492 1%
Wc Allied $79 - $492 1%
Wc Amerisure $79 - $492 1%
Wc Amtrust $79 - $492 1%
Wc Asu Risk Mgt $79 - $492 1%
Wc Berkley Admin $79 - $492 1%
Wc Broadspire $79 - $492 1%
Wc Bunch & Associates $79 - $492 1%
Wc Ccmsi $79 - $492 1%
Wc Emc Insurance Company $79 - $492 1%
Wc Esis $79 - $492 1%
Wc Fcci $79 - $492 1%
Wc Federated $79 - $492 1%
Wc Gallagher Bassett $79 - $492 1%
Wc Genex Care For Ohio $79 - $492 1%
Wc Guard Insurance Company $79 - $492 1%
Wc Hartford $79 - $492 1%
Wc Liberty Mutual $79 - $492 1%
Wc Meijers $79 - $492 1%
Wc Michigan $79 - $492 1%
Wc Mitchell Frankenmuth $79 - $492 1%
Wc Pma $79 - $492 1%
Wc Sedgwick $79 - $492 1%
Wc Sentry $79 - $492 1%
Wc Travelers $79 - $492 1%
Wc Tristar $79 - $492 1%
Wc Walmart $79 - $492 1%
Wc Zurich $79 - $492 1%
Blue Care Network $80 - $5,257 1%
American Postal Workers Secondary $81 - $503 1%
Cigna $81 - $503 1%
Blue Benefit Administrators Of Massachusetts $85 - $5,257 1%
Blue Cross Blue Shield $85 - $5,903 1%
Blue Distinction Transplant $85 - $5,257 1%
Blue Shield - Ca $85 - $5,257 1%
Blue Shield - Id (Regence) $85 - $5,257 1%
Blue Shield - Ny Highmark Northeastern $85 - $5,257 1%
Blue Shield - Ny Highmark Western $85 - $5,257 1%
Blue Shield - Pa (Highmark) $85 - $5,257 1%
Blue Shield - Wa (Regence) $85 - $5,257 1%
Claimdoc $85 - $531 1%
Kent County Jail $85 - $531 1%
Muskegon County Jail $85 - $531 1%
Priority Health $85 - $2,069 1%
Aetna $92 - $5,903 1%
Meritain $92 - $575 1%
Geha $94 - $589 2%
UnitedHealthcare $94 - $6,204 2%
Andrie Inc $103 - $517 2%
East Greenbush Central School District $103 - $517 2%
Genex Wc $103 - $517 2%
Healthsmart Workers Comp $103 - $517 2%
Jag Source $103 - $517 2%
New York State Insurance Fund $103 - $517 2%
Njm Insurance Group $103 - $517 2%
Rx Heatlhcomp $103 - $517 2%
Rx Restat $103 - $517 2%
Rx Saif Opdp Wc $103 - $517 2%
Rx Worker'S Comp $103 - $517 2%
Wc Ace $103 - $517 2%
Wc Acs Federal Employees $103 - $517 2%
Wc Acuity $103 - $517 2%
Wc Aegis $103 - $517 2%
Wc Aims $103 - $517 2%
Wc Alaska National Ins $103 - $517 2%
Wc Align Network $103 - $517 2%
Wc Am Trust N America $103 - $517 2%
Wc American Claims Mgmt $103 - $517 2%
Wc Benetech $103 - $517 2%
Wc Broward County $103 - $517 2%
Wc California State Comp Ins $103 - $517 2%
Wc California State Ins Fund $103 - $517 2%
Wc Capitol Area Health Consortium $103 - $517 2%
Wc Chartis $103 - $517 2%
Wc Chubb $103 - $517 2%
Wc Cirma $103 - $517 2%
Wc City Of Albany $103 - $517 2%
Wc City Of Sioux City $103 - $517 2%
Wc Claims Mgmt Inc $103 - $517 2%
Wc Cna $103 - $517 2%
Wc Comp One Admin C/O Manageability $103 - $517 2%
Wc Compone Admin $103 - $517 2%
Wc Corvel $103 - $517 2%
Wc Ct Healthcare Trust $103 - $517 2%
Wc Donegal Insurance Group $103 - $517 2%
Wc Employee Mutual $103 - $517 2%
Wc Enablecomp $103 - $517 2%
Wc Encore Health Network $103 - $517 2%
Wc Erie $103 - $517 2%
Wc Evolutions $103 - $517 2%
Wc Fed Ex $103 - $517 2%
Wc Federal Black Lung $103 - $517 2%
Wc Finley Occupational Health $103 - $517 2%
Wc First Agency/Occunet $103 - $517 2%
Wc Ford Motor $103 - $517 2%
Wc Fresno Unified Emp $103 - $517 2%
Wc General Motors $103 - $517 2%
Wc Generic $103 - $517 2%
Wc Great West Casualty $103 - $517 2%
Wc Guarantee Insurance $103 - $517 2%
Wc Hab $103 - $517 2%
Wc Hastings $103 - $517 2%
Wc Health Management $103 - $517 2%
Wc Heritage Summit $103 - $517 2%
Wc Hireright $103 - $517 2%
Wc Horizon $103 - $517 2%
Wc Icw Group $103 - $517 2%
Wc Idaho State Ins Fund $103 - $517 2%
Wc Intercare Insurance $103 - $517 2%
Wc Intermountain $103 - $517 2%
Wc Johns Eastern $103 - $517 2%
Wc Kemberton $103 - $517 2%
Wc Key Ins & Benefit Solutions $103 - $517 2%
Wc Mac Risk Management $103 - $517 2%
Wc Massachusetts $103 - $517 2%
Wc Mdia $103 - $517 2%
Wc Meadowbrook Claim $103 - $517 2%
Wc Medical Administrators $103 - $517 2%
Wc Memic $103 - $517 2%
Wc Mercy Workcare $103 - $517 2%
Wc Michigan Millers Mutual $103 - $517 2%
Wc Mra $103 - $517 2%
Wc Nationwide $103 - $517 2%
Wc Nca Comp $103 - $517 2%
Wc New York $103 - $517 2%
Wc New York Special Funds $103 - $517 2%
Wc North American Rishces $103 - $517 2%
Wc Northeast Health $103 - $517 2%
Wc Notre Dame $103 - $517 2%
Wc Novanet $103 - $517 2%
Wc O'Hara Corp $103 - $517 2%
Wc Occ Health Allen $103 - $517 2%
Wc Ohio Bureau $103 - $517 2%
Wc One Call Medical $103 - $517 2%
Wc Paradigm $103 - $517 2%
Wc Peerless $103 - $517 2%
Wc Praxis Health Network $103 - $517 2%
Wc Price Chopper $103 - $517 2%
Wc Procura Management $103 - $517 2%
Wc Qualcare $103 - $517 2%
Wc Quiktrip $103 - $517 2%
Wc Reny Company $103 - $517 2%
Wc Rev Claims $103 - $517 2%
Wc Risico $103 - $517 2%
Wc Rural Mutual $103 - $517 2%
Wc Saif Oregon $103 - $517 2%
Wc Secura $103 - $517 2%
Wc Sheakley Unicomp $103 - $517 2%
Wc Smile Lodge $103 - $517 2%
Wc Society $103 - $517 2%
Wc Srs $103 - $517 2%
Wc Taconic (Mro) $103 - $517 2%
Wc Taconic Farms $103 - $517 2%
Wc Triad Group $103 - $517 2%
Wc Troy Ny $103 - $517 2%
Wc Tyson $103 - $517 2%
Wc Unified Health Services $103 - $517 2%
Wc United Heartland $103 - $517 2%
Wc Us Dept Of Labor $103 - $517 2%
Wc Velocity $103 - $517 2%
Wc West Bend $103 - $517 2%
Wc West Bend Mutual/Argent $103 - $517 2%
Wc Winnebago Industries $103 - $517 2%
Wc Yankee Trails $103 - $517 2%
Wc York Risk $103 - $517 2%
Wc Zenith $103 - $517 2%
Medicaid / KanCare $116 - $3,377 2%
Acclaim $135 - $894 2%
Administrative Concepts $135 - $894 2%
Allegeant $135 - $894 2%
Allied Benefit Systems $135 - $894 2%
Ameriben $135 - $894 2%
American Family $135 - $894 2%
American Healthcare Alliance $135 - $894 2%
American National $135 - $894 2%
American Republic $135 - $894 2%
Amerihealth $135 - $894 2%
Aultcare $135 - $894 2%
Automated Benefit Services $135 - $894 2%
Auxiant $135 - $894 2%
Benefit Administrative Systems,Llc $135 - $894 2%
Boon Chapman $135 - $894 2%
Cam Administrative Services $135 - $894 2%
Christian Brother Services $135 - $894 2%
Christian Brothers Holy Cross $135 - $894 2%
Claimchoice Adminstrators $135 - $894 2%
Comprehensive Benefits $135 - $894 2%
Consociate $135 - $894 2%
Continental Life Insurance $135 - $894 2%
Coventry $135 - $894 2%
Custom Benefit Administrators $135 - $894 2%
Cypress Benefit Administrators $135 - $894 2%
Employee Benefit Concepts $135 - $894 2%
Employee Benefit Management $135 - $894 2%
Enterprise Group Planning $135 - $894 2%
First Health $135 - $894 2%
Forest County Potawatomi $135 - $894 2%
Freedom Life Insurance Company $135 - $894 2%
Group Administrators $135 - $894 2%
Group Marketing Services $135 - $894 2%
Group Pension Administrators $135 - $894 2%
Guardian $135 - $894 2%
Health America $135 - $894 2%
Health Choices $135 - $5,257 2%
Health Smart $135 - $894 2%
Healthcare Management Admin $135 - $894 2%
Healthez $135 - $894 2%
Healthgram $135 - $894 2%
Healthscope $135 - $894 2%
Humana $135 - $894 2%
Insight $135 - $894 2%
Intercare $135 - $894 2%
Jfp Benefit Management $135 - $894 2%
Jp Farley Corporation $135 - $894 2%
Key Benefit Administrator $135 - $894 2%
Liberty Union Life Assurance Co $135 - $894 2%
Lucent Health $135 - $894 2%
Luminare Health $135 - $894 2%
Luminare Health (Detroit) $135 - $894 2%
Magnacare $135 - $894 2%
Medben $135 - $894 2%
Medcost $135 - $894 2%
Medical Mutual $135 - $894 2%
Mutual Health Services $135 - $894 2%
Mutual Of Omaha $135 - $894 2%
Ncas $135 - $894 2%
Nippon Life Ins $135 - $894 2%
Nova $135 - $894 2%
Painters Union Insurance Fund $135 - $894 2%
Physicians Mutual $135 - $894 2%
Plumbers Local 98 Insurance Fund $135 - $894 2%
Prairie States $135 - $894 2%
Preferred One $135 - $894 2%
Primary Physician Care $135 - $894 2%
Professional Benefit Administrators $135 - $894 2%
Secureone Preferred United Plans $135 - $894 2%
Siho Insurance Services $135 - $894 2%
Sisco Benefits $135 - $894 2%
The Health Plan $135 - $894 2%
The Loomis Company $135 - $894 2%
Trustmark Small Business Benefits $135 - $894 2%
Unicare $135 - $894 2%
Unified Group Services $135 - $894 2%
Us Health And Life $135 - $894 2%
Valenz $135 - $894 2%
Webtpa $135 - $894 2%
Western & Southern Financial Group $135 - $894 2%
Wps $135 - $894 2%
Partners Direct Health - Brio $159 - $994 3%
Albany County Correctional Facility $214 3%
Ambetter / Centene $214 3%
Amish Mennonite $214 3%
Ascension St. Vincent Public Safety Medical $214 3%
Bccp $214 3%
Bmc Healthnet $214 3%
Breast Grant-Connecticut $214 3%
Broward County Dept Of Health $214 3%
California Health And Wellness $214 3%
Cardinal Innovations Lme $214 3%
Care Connections Of Northern Iowa $214 3%
Care Oregon Ohp $214 3%
Cencal Health Plan $214 3%
Cenpatico $214 3%
Chhuny $214 3%
Childrens Comm Health Plan $214 3%
Childrens Medical Services Title 19 $214 3%
City Of Philadelphia $214 3%
Cmh Allegan County $214 3%
Cmh Ausable Valley $214 3%
Cmh Barry County $214 3%
Cmh Bay-Arenac County $214 3%
Cmh Berrien County $214 3%
Cmh Cass County $214 3%
Cmh Central Mi County $214 3%
Cmh Clinton-Eaton-Ingham County $214 3%
Cmh Detroit Wayne Integrated Health Network $214 3%
Cmh Genesee County $214 3%
Cmh Ionia County $214 3%
Cmh Jackson County/Lifeways $214 3%
Cmh Kalamazoo $214 3%
Cmh Kent County $214 3%
Cmh Lenawee County $214 3%
Cmh Livingston County $214 3%
Cmh Macomb $214 3%
Cmh Misc $214 3%
Cmh Monroe County $214 3%
Cmh Montcalm County $214 3%
Cmh Muskegon County $214 3%
Cmh Newaygo County $214 3%
Cmh North Country $214 3%
Cmh Northern Lakes County $214 3%
Cmh Oakland County $214 3%
Cmh Ottawa County $214 3%
Cmh Van Buren County $214 3%
Cmh Washtenaw County $214 3%
Cmh Wayne County/Carelink $214 3%
Cmh Wayne Cty/Com Liv Svcs $214 3%
Cmh West Mi County $214 3%
Community Benefit Health $214 3%
Community Care Behavorial Health $214 3%
Community Care Partners $214 3%
Community Health Choice $214 3%
Connections Csp $214 3%
County Coroner $214 3%
County Funding Generic $214 3%
Covid19 Hrsa Uninsured Testing And Treatment Fund $214 3%
Dean Wi Badgercare $214 3%
Delaware County Department Of Health $214 3%
Delaware First Health $214 3%
Delta Dental Nj $214 3%
Dph Tb Program $214 3%
Dscc $214 3%
Eastpointe Lme $214 3%
Family Health Network $214 3%
Freedom First Healthcare $214 3%
Fresno County Ccs $214 3%
Ghc Scw Wi Badgercare $214 3%
Harbor Health $214 3%
Health Safety Net $214 3%
Healthy Blue Ne $214 3%
Hennepin Health $214 3%
Id County Ada $214 3%
Id County Canyon $214 3%
Id County Cat Fund $214 3%
Id County Other $214 3%
Id County Payette $214 3%
Idaho Dept Health And Wellfare $214 3%
Idaho Womens Health Check $214 3%
Indiana Breast Cervical Cancer $214 3%
Inland Empire Health Plan $214 3%
Intercommunity Health Ohp $214 3%
Iowa Total Care $214 3%
Jai Medical System $214 3%
Kern Family Health Plan $214 3%
Keystone First $214 3%
Keystone First Chip $214 3%
La Care Health Plan $214 3%
Lakeland Care Inc $214 3%
Managed Health Services - Indiana $214 3%
Maryland Breast & Cervical Program $214 3%
Maryland Healthy Smiles - Scion Dental $214 3%
Maryland Physicians Care $214 3%
Massachusetts Behavioral Health Partnership $214 3%
Mdwise $214 3%
Medi-Cal $214 3%
Medi-Cal Healthnet $214 3%
Medstar Dc Healthy Family $214 3%
Medstar Md Health Choice $214 3%
Mo Home State Health Plan $214 3%
Molina Centennial Care $214 3%
Nascentia Health Options $214 3%
Nebraska Total Care $214 3%
New York Cancer Services Program $214 3%
Nextlevel Health $214 3%
Oregon Screenwise $214 3%
Pace Of Southwest Michigan $214 - $336 3%
Paramount Advantage $214 3%
Parkland Community Health Plan $214 3%
Partners Behavioral Lme $214 3%
Peach State Healthplan $214 3%
Philadelphia County Funding $214 3%
Presbyterian Centennial Care $214 3%
Prestige Health Choice $214 3%
Priority Partners $214 3%
Robert F Sing Program $214 3%
Rx 340B Pass Along $214 3%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $214 3%
Rx Medi-Cal $214 3%
Rx Meridian Rx $214 3%
Ryan White Florida Mssrp $214 3%
Sandhills Center Lme $214 3%
Screening For Life $214 3%
St Joseph County Hlth Dpt $214 3%
Stephenson Cty Health $214 3%
Sunshine State Health Plan $214 3%
Superior Health $214 3%
Tenncare $214 3%
Texas Children'S Health Plan $214 3%
Trillium Community Ohp $214 3%
Tufts Health Public Plans $214 3%
Vaya Health Lme $214 3%
Washtenaw Health Plan $214 3%
Wellsense Health Plan $214 3%
Wi Womens Wellness $214 3%
Ally Align Care Adv $336 5%
American Health Advantage Of Idaho $336 5%
American Health Plan $336 5%
Aurora Special Needs $336 5%
Blue Care Network Advantage $336 - $5,903 5%
Blue Shield - De (Highmark) Medciare Advantage $336 5%
Care Dimensions $336 5%
Care Improvement Plus $336 5%
Care Resources Pace $336 5%
Careplus Health Plans $336 5%
Cca Senior Care Options $336 5%
Central Valley Medical Services Corp Pace $336 5%
Champion Health Plan Mcr Advantage $336 5%
Clear Spring Health $336 5%
Clover Health $336 5%
Commonwealth Care Alliance $336 5%
Community Pace At Home $336 5%
Eddy Senior Care-Pace $336 5%
Eddy Seniorcare Pace $336 5%
Elementcare $336 5%
Evercare $336 5%
Everence $336 5%
Gateway Health Plan $336 5%
Genesys Pace Of Genesee County $336 5%
Georgia Health Advantage $336 5%
Gold Advantage $336 5%
Gpa Croell Redi Mix $336 5%
Health America Advantra $336 5%
Highmark Health Options Dual Plan $336 5%
Hope Select Pace $336 5%
Horizon Nj Total Care $336 5%
Hudson Headwaters Pace $336 5%
Huron Valley Pace $336 5%
Innovative Integrated Health Community Plans $336 5%
Iowa Health Advantage $336 5%
Johns Hopkins Advantage Md $336 5%
Lasso Healthcare Msa $336 5%
Life St Marys Pace $336 5%
Lifecircles Pace $336 5%
Longevity Health Plan $336 5%
Martins Point Generations Advantage $336 5%
Mass General Brigham Mcr Adv $336 5%
Medicare (plans) $336 - $6,024 5%
Medipak Advantage $336 5%
Mercy Life $336 5%
Mercyone Cedar Valley $336 5%
Meridian Complete $336 5%
Michigan Complete Health $336 5%
Nascentia Health Plus $336 5%
New Centry Health Careplus $336 5%
Osu Prime Care Advantage $336 5%
Pace Cny $336 5%
Pace Iowa Immanuel Pathways $336 5%
Pace Southeast $336 5%
Pace-Trinity Health $336 5%
Peak Pace Solutions $336 5%
Perennial Advantage $336 5%
Preferred Care Partners $336 5%
Presbyterian Senior Plan $336 5%
Provider Partners Health Plan Of Illinois $336 5%
Provider Partners Health Plan Of Indiana $336 5%
Pruitthealth Premier $336 5%
Reliance Community Care Partners Care Resources Pace $336 5%
Rx Allwin $336 5%
Rx Grane Grnmedd $336 5%
Rx Retiree Rx Care $336 5%
Scan Health Plan Mcr Ipa Meritage Oon $336 5%
Secure Horizons Ma Pffs $336 5%
Serenity Pace $336 5%
Siouxland Pace $336 5%
Solis Health Plans $336 5%
Sunnyview-Pace Finance Dept $336 5%
Texan Plus $336 5%
Thome Pace $336 5%
Todays Options $336 5%
Tribute Health Plans $336 5%
Um Health Advantage $336 5%
Union Health Service $336 5%
Welbe Health $336 5%
Wellmed $336 5%
Align Senior Care $343 - $6,024 6%
Veterans Administration $343 6%
Champva $347 6%
Tricare $347 6%
Triwest Health Alliance $347 6%
Us Family Health Plan $347 6%
Veterans Eval Services $347 6%
Cca - Zing Health $369 - $6,376 6%
Longevity Ipa Of Michigan Llc Health Plan Isnp $386 - $6,789 6%
U Of M Health Plan $479 - $1,439 8%
Bcccp-Michigan $726 - $770 12%
Caresource $1,936 31%
Bcn Domestic $5,257 85%
Kaiser Domestic $5,257 85%
Hospice Advantage $6,024 98%
Health Cost Solutions $9,337 151%
Vitalcore $9,337 151%
Employee Benefit Logistic $13,898 225%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 44405 Woodward Ave, Pontiac, MI 48341
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals