CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Astera Health

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,076
Cash Discount Price: $1,423
vs. Medicare Baseline: 0.17x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Astera Health is $1,076. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,423. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.17x the Medicare baseline. Located in 421 11Th Street Nw, Wadena, MN.

Cash / Self-Pay

$1,423

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,076

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: $1,423 (23%)

Insurance Median: $1,076 (17%)

Cash: $1,423 (23% of Medicare)

Ins. Median: $1,076 (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.

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
Blue Plus Pmap [40002]	$384 - $595	6%
Ucare Pmap [30006]	$446 - $8,103	7%
Health Partners Pmap [10046]	$459 - $11,197	7%
Medica Pmap [10057]	$459 - $8,303	7%
Primewest Pmap [30003]	$459 - $8,303	7%
Blue Cross Blue Shield	$595 - $16,929	10%
Health Partners [10045]	$595 - $15,916	10%
Medica Nonpmap [10056]	$595 - $153,513	10%
Primewest Non Pmap [30004]	$595	10%
Ucare Non Pmap [30007]	$595 - $9,349	10%
UnitedHealthcare	$817 - $17,207	13%
Sanford Health Plan [10120]	$965 - $1,051	16%
Ucare Commercial [10705]	$1,465 - $16,549	24%
Multiplan	$1,577 - $17,808	26%
Aetna	$1,774 - $20,035	29%

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 $1,423.
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 Astera Health 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.