CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: M Health Fairview University of Mn Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $3,778
Cash Discount Price: $4,021
vs. Medicare Baseline: 0.61x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at M Health Fairview University of Mn Medical Center is $3,778. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,021. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.61x the Medicare baseline. Located in 2450 Riverside Avenue, Minneapolis, MN.

Cash / Self-Pay

$4,021

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,778

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: $4,021 (65%)

Insurance Median: $3,778 (61%)

Cash: $4,021 (65% of Medicare)

Ins. Median: $3,778 (61% 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
Cigna	$90 - $11,502	1%
Sanford Health Plan	$94 - $12,097	2%
Emerging Therapies	$102 - $13,145	2%
Humana	$104 - $13,350	2%
UnitedHealthcare	$104 - $11,707	2%
Aetna	$109 - $13,966	2%
Security Health Plan	$117 - $15,404	2%
Interlink	$120 - $15,404	2%
America'S Ppo	$121 - $14,788	2%
First Health	$131 - $16,842	2%
Multiplan	$136 - $17,458	2%
Private Healthcare Systems	$136 - $17,458	2%
Wisconsin Physician Services	$144 - $18,485	2%
Health Partners	$432 - $20,482	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 - $8,115	7%
Hennepin Health	$488 - $5,876	8%
Blue Cross Blue Shield	$493 - $6,040	8%
Wellcare	$586 - $5,807	9%

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 $4,021.
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 M Health Fairview University of Mn Medical Center 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.