CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Munson Healthcare Cadillac Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $938
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.15x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Munson Healthcare Cadillac Hospital is $938. 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 0.15x the Medicare baseline. Located in 400 Hobart St, Cadillac, MI.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$938

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: $938 (15%)
Ins. Median: $938 (15% 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
Blue Cross Blue Shield $195 - $11,130 3%
Mclaren Health Plan $427 - $6,024 7%
Meridian $427 - $3,150 7%
Molina $427 - $6,506 7%
Priority Health $427 - $6,024 7%
UnitedHealthcare $427 - $6,024 7%
American Health Associates $626 - $6,024 10%
Autumnwood Of Mcbain Skilled Nursing $626 - $6,024 10%
Blue Care Network $626 - $6,024 10%
Hap (Health Alliance Plan) $626 - $938 10%
Humana $626 10%
Medicare (plans) $626 - $6,024 10%
Michigan Amish Medical Board $626 - $6,024 10%
Promedica $626 - $6,024 10%
Samaritas Senior Living Skilled Nursing $626 - $6,024 10%
Wellcare (Meridian) $626 - $6,024 10%
Provider Network Of America Group Health $876 14%
Aetna $938 15%
Asr/Physicians Care $938 15%
Cofinity $938 15%
Employee Benefits Logistics $1,063 - $10,240 17%
Cigna $1,217 - $5,396 20%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 Hobart St, Cadillac, MI 49601
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals