CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: SSM St Clare Health Center

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,014

about 0.6× the $6,176 Medicare rate · typically $2,934–$7,001

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,594

Below the fair price — a good deal

about $420 under the fair price · 0.6× Medicare

Medicare pays $6,176 Fair price $4,014 This hospital $3,594

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

Highest price of the 9 MO hospitals we have prices for — worth calling around.

Cheapest $922 Priciest $3,594

Black dot = this hospital, among the 9 MO hospitals with a price for this procedure. Full list below.

A fair price for a Gallbladder removal (laparoscopic) is about $4,014 (about 0.6× the $6,176 Medicare rate). SSM St Clare Health Center charges insurers about $3,594 — below the fair price — a good deal. Located in Fenton, MO.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$4,464 - $6,145	72%
Blue Cross Blue Shieldmajor	$705 - $6,146	11%
Aetnamajor	$5,286 - $7,370	86%
Cignamajor	$10,806	175%
Humanamajor	$6,158	100%
Ambetter (Centene)	$5,004	81%
HealthLink	$4,065 - $6,762	66%
Oscar Health	$3,886 - $7,266	63%

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 47562.

Insurance Before you use insurance

Call your insurance company to confirm SSM St Clare Health Center is in-network.
Ask your insurer whether prior approval is required for CPT code 47562.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at SSM St Clare Health Center

Compare: Gallbladder removal (laparoscopic) at other MO hospitals

Insurance negotiated median for the same procedure, sorted lowest first.