CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Holland Community Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,023
Cash Discount Price: $692
vs. Medicare Baseline: 0.17x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Holland Community Hospital is $1,023. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $692. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.17x the Medicare baseline. Located in 602 Michigan Ave, Holland, MI.

Cash / Self-Pay

$692

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,023

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: $692 (11%)

Insurance Median: $1,023 (17%)

Cash: $692 (11% of Medicare)

Ins. Median: $1,023 (17% 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
Nomi Health - All Plans	$84	1%
Life Circles-All Plans	$595	10%
Health Alliance Mcr Adv	$626	10%
Ph Mcr Adv	$626	10%
UnitedHealthcare	$626 - $3,031	10%
Va Ccn - All Plans	$626	10%
Aetna	$645 - $1,023	10%
Longevity Health Plan-All Plans	$676	11%
Benefit Source Inc-All Plans	$683 - $1,020	11%
Multiplan - All Plans	$769 - $1,148	12%
First Health-All Plans	$814	13%
Blue Care Network - All Plans	$999	16%
Cofinity -All Plans	$1,023	17%
Blue Cross Blue Shield	$1,068	17%
Cigna	$1,162	19%
Priority Health - All Other Plans	$1,217	20%
Asr - All Plans	$1,396	23%
Health Alliance Ahl - All Other Plans	$1,396	23%
Health Alliance Hmo	$1,396	23%
Sisco-All Other Plans	$1,462	24%
Meridian Mcaid Profee Only-All Plans	$3,031	49%
Molina Mcaid - All Plans	$3,031	49%
Ph Mcaid	$3,031	49%
Sisco Epi	$9,641	156%

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 $692.
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 Holland Community 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.