CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Essentia Health Virginia

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,679
  • Cash Discount Price: $4,297
  • vs. Medicare Baseline: 0.92x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Essentia Health Virginia is $5,679. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,297. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.92x the Medicare baseline. Located in 901 9Th Street North, Virginia, MN.
Cash / Self-Pay
$4,297

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,679

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: $4,297 (70%)
Insurance Median: $5,679 (92%)
Cash: $4,297 (70% of Medicare)
Ins. Median: $5,679 (92% 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
Medica Access $1,574 25%
Healthpartners Care Pmap $2,723 44%
Sanford Healthplan $2,935 - $10,331 48%
Blue Cross Blue Shield $3,079 - $20,505 50%
Blue Plus Pmap Pcc Prime $3,213 - $4,594 52%
Medica $4,358 - $4,844 71%
Medica Uplan $4,358 71%
Ucare $4,502 73%
Healthpartners $4,885 - $6,185 79%
Wea $4,926 - $5,268 80%
Medica Choice $4,988 81%
Security Health $5,268 85%
America'S Ppo $5,303 86%
Primewest $5,563 90%
Wps $5,679 - $5,747 92%
Advocare/Security Health $5,726 93%
Freedom Blue Ppo $5,726 93%
Healthpartners Care Msho / Mcr Adv $5,726 93%
Imcare Msho Pcc Prime $5,726 93%
Imcare Msho Ref Req $5,726 93%
Medica Advantage Solutions $5,726 93%
Medica Msho/Dual Solutions $5,726 93%
Medica Prime Solution Group $5,726 93%
Medicare (plans) $5,726 93%
Nd Va Administration $5,726 93%
Platinum Blue/Vantage Blue $5,726 93%
Primewest Msho $5,726 93%
Secure Blue Msho $5,726 93%
Ubh Cost Plan $5,726 93%
Ubh Msho $5,726 93%
Ucare Msho $5,726 93%
UnitedHealthcare $5,726 - $6,021 93%
Aetna $5,816 94%
Itasca Med Care $5,834 94%
Cigna $6,165 - $6,185 100%
Healthpartners Pcc Prime $6,165 - $6,185 100%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 9Th Street North, Virginia, MN 55792
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals