CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: M Health Fairview Southdale Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $1,060
  • Cash Discount Price: $214
  • vs. Medicare Baseline: 0.17x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at M Health Fairview Southdale Hospital is $1,060. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $214. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.17x the Medicare baseline. Located in 6401 France Avenue South, Edina, MN.
Cash / Self-Pay
$214

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,060

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: $214 (3%)
Insurance Median: $1,060 (17%)
Cash: $214 (3% of Medicare)
Ins. Median: $1,060 (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.

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
Sanford Health Plan $187 - $5,807 3%
Security Health Plan $232 - $5,807 4%
America'S Ppo $241 - $2,507 4%
First Health $260 - $2,602 4%
Multiplan $270 - $2,698 4%
Private Healthcare Systems $270 - $2,698 4%
Wisconsin Physician Services $286 - $2,856 5%
Health Partners $432 - $13,130 7%
Itasca Medical Care $432 - $5,807 7%
Primewest $432 - $5,807 7%
South Country Health Alliance $432 - $5,807 7%
Ucare $440 - $13,346 7%
Medica $460 - $7,469 7%
Hennepin Health $488 - $5,876 8%
Blue Cross Blue Shield $493 - $6,040 8%
UnitedHealthcare $586 - $9,010 9%
Wellcare $586 - $5,807 9%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6401 France Avenue South, Edina, MN 55435
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals