CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Henry Ford Macomb Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $708
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.11x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Henry Ford Macomb Hospital is $708. 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 0.11x the Medicare baseline. Located in 15855 Nineteen Mile Rd, Clinton Township, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$708

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: $708 (11%)
Ins. Median: $708 (11% 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
Aetna $379 - $6,288 6%
Blue Cross Blue Shield $379 - $7,953 6%
Hap $379 - $5,716 6%
Mclaren $379 6%
Meridian Health Plan Of Mi $379 - $7,717 6%
Priority Health $379 - $7,716 6%
Amerihealth Michigan $427 - $5,602 7%
Hap Caresource $427 - $5,716 7%
Mclaren Health Plan Inc. $427 - $708 7%
Meridian $427 - $708 7%
Molina $444 - $7,717 7%
Priority $449 - $708 7%
Humana $566 - $5,831 9%
Pace Se Mi $672 11%
Bcn $708 - $5,716 11%
Cca Health Mi $708 11%
Health Alliance Plan Of Michigan $708 11%
Mount Carmel Health Plan $708 - $5,716 11%
United Behavioral Health, Inc. $708 11%
UnitedHealthcare $708 - $5,716 11%
Wellcare Ma $708 11%
Vitalcore Physicians Group Of Mi $920 - $13,148 15%
Cigna $977 16%
Pace Of Se Mi $5,431 88%
Cca Health Michigan $5,716 93%
Mclaren Health $5,716 93%
Molina Mi Health Link $5,716 93%
Wellcare $5,774 93%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 15855 Nineteen Mile Rd, Clinton Township, MI 48038
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals