CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Sparrow Ionia Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,025
Cash Discount Price: $501
vs. Medicare Baseline: 0.17x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Sparrow Ionia Hospital is $1,025. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $501. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.17x the Medicare baseline. Located in 3565 S State Road, Ionia, MI.

Cash / Self-Pay

$501

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,025

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: $501 (8%)

Insurance Median: $1,025 (17%)

Cash: $501 (8% of Medicare)

Ins. Median: $1,025 (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
Aetna	$334	5%
Covenant Advantage	$334	5%
Medicare (plans)	$334 - $643	5%
Medigold	$334	5%
Senior Community Care	$334	5%
Humana	$351 - $1,082	6%
Medicaid / KanCare	$427	7%
Priority	$820	13%
Blue Cross Blue Shield	$838 - $1,068	14%
UnitedHealthcare	$1,025	17%
Cigna	$1,058	17%
Great West Healthcare	$1,058	17%
Asr	$1,069	17%
Blue Care Network	$1,069	17%
Health Alliance Plan	$1,069	17%
Cofinity	$1,082	18%
Mclaren Commercial	$1,190	19%

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 $501.
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 Sparrow Ionia 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.