CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Trinity Health Muskegon Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,861
  • Cash Discount Price: $24,205
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Trinity Health Muskegon Hospital is $5,861. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24,205. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.95x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$24,205

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,861

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: $24,205 (392%)
Insurance Median: $5,861 (95%)
Cash: $24,205 (392% of Medicare)
Ins. Median: $5,861 (95% 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
U Of M Health Plan $1,439 23%
Blue Cross Blue Shield $3,377 - $6,322 55%
Medicaid / KanCare $3,377 - $3,443 55%
Access Health $4,516 73%
Bcn Domestic $5,861 95%
Blue Benefit Administrators Of Massachusetts $5,861 95%
Blue Care Network $5,861 95%
Blue Distinction Transplant $5,861 95%
Blue Shield - Ca $5,861 95%
Blue Shield - Id (Regence) $5,861 95%
Blue Shield - Ny Highmark Northeastern $5,861 95%
Blue Shield - Ny Highmark Western $5,861 95%
Blue Shield - Pa (Highmark) $5,861 95%
Blue Shield - Wa (Regence) $5,861 95%
Health Choices $5,861 95%
Kaiser Domestic $5,861 95%
Aetna $6,322 102%
Blue Care Network Advantage $6,322 102%
Medicare (plans) $6,322 102%
Align Senior Care $6,451 104%
Correctional Recovery $6,451 104%
Heartland Hospice $6,451 104%
Hospice Harbor Hospice $6,451 104%
UnitedHealthcare $6,645 108%
Priority Health $6,660 - $7,451 108%
Longevity Ipa Of Michigan Llc Health Plan Isnp $7,271 118%
Oscar $8,258 134%
Molina Marketplace $8,387 136%
Vitalcore $10,000 162%
Wellpath $10,000 162%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Sherman Blvd, Muskegon, MI 49441
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals