CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Essentia Health St Marys - Detroit Lakes

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,132
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Essentia Health St Marys - Detroit Lakes is $6,132. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.99x the Medicare baseline. Located in 1027 Washington Ave, Detroit Lakes, MN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,132

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%)
Insurance Median: $6,132 (99%)
Ins. Median: $6,132 (99% 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
Blue Cross Blue Shield $3,861 - $25,400 63%
Primewest $5,563 90%
Itasca Med Care $5,834 94%
Advocare/Security Health $6,132 99%
Freedom Blue Ppo $6,132 99%
Healthpartners Care Msho / Mcr Adv $6,132 99%
Imcare Msho Pcc Prime $6,132 99%
Imcare Msho Ref Req $6,132 99%
Medica Advantage Solutions $6,132 99%
Medica Msho/Dual Solutions $6,132 99%
Medica Prime Solution Group $6,132 99%
Medicare (plans) $6,132 99%
Nd Va Administration $6,132 99%
Platinum Blue/Vantage Blue $6,132 99%
Primewest Msho $6,132 99%
Secure Blue Msho $6,132 99%
Ubh Cost Plan $6,132 99%
Ubh Msho $6,132 99%
Ucare Msho $6,132 99%
UnitedHealthcare $6,132 99%
Sanford Healthplan $10,331 167%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1027 Washington Ave, Detroit Lakes, MN 56501
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals