CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Frye Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $4,325
  • Cash Discount Price: $9,236
  • vs. Medicare Baseline: 0.70x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Frye Regional Medical Center is $4,325. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,236. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.70x the Medicare baseline. Located in 420 N Center St, Hickory, NC.
Cash / Self-Pay
$9,236

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,325

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: $9,236 (150%)
Insurance Median: $4,325 (70%)
Cash: $9,236 (150% of Medicare)
Ins. Median: $4,325 (70% 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
UnitedHealthcare $1,217 - $9,971 20%
Amerihealth Caritas North Carolina $1,613 26%
Partners Health Management $1,613 26%
Wellcare Of North Carolina, Inc $1,891 31%
Blue Cross Blue Shield $2,282 - $4,358 37%
Vaya Health $2,282 37%
Carolina Complete Health Inc. $2,328 38%
Ambetter / Centene $4,895 79%
Humana $5,470 - $5,479 89%
Veteran Family Member Program $5,479 89%
Aetna $5,588 - $11,270 90%
Cigna $13,275 215%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 420 N Center St, Hickory, NC 28601
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals