CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: North Memorial Health Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $725
Cash Discount Price: $1,789
vs. Medicare Baseline: 0.12x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at North Memorial Health Hospital is $725. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,789. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.12x the Medicare baseline. Located in 3300 Oakdale North, Robbinsdale, MN.

Cash / Self-Pay

$1,789

Average discount available for prompt cash payment at this facility.

Insurance Median

$725

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: $1,789 (29%)

Insurance Median: $725 (12%)

Cash: $1,789 (29% of Medicare)

Ins. Median: $725 (12% 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
Health Partners [1061]	$459 - $2,556	7%
Medicaid / KanCare	$459	7%
Medica [1086]	$460 - $2,478	7%
Blue Cross Blue Shield	$464 - $2,718	8%
Hennepin Health [1096]	$505 - $515	8%
Ucare [1148]	$551 - $1,168	9%
Medicare (plans)	$649	11%
UnitedHealthcare	$668 - $2,521	11%
Aetna	$724	12%
Humana	$727	12%
America'S Ppo [1010]	$1,162 - $1,236	19%
Cigna	$2,658	43%

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 $1,789.
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 North Memorial Health 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.