CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Sanford Medical Center Bismarck

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,474

about 0.7× the $6,176 Medicare rate · typically $4,474–$5,833

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,009

Above the fair price

about $1,535 over the fair price · 1.0× Medicare

Medicare pays $6,176 Fair price $4,474 This hospital $6,009

How we calculate the fair BaseRate →

How this hospital compares to other ND hospitals

A typical price — 2 charge more and 4 charge less, among the 8 ND hospitals compared.

Cheapest $1,424 Priciest $6,485

Black dot = this hospital, among the 8 ND hospitals with a price for this procedure. Full list below.

A fair price for a Gallbladder removal (laparoscopic) is about $4,474 (about 0.7× the $6,176 Medicare rate). Sanford Medical Center Bismarck charges insurers about $6,009 — above the fair price. Located in Bismarck, ND.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $4,474. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$5,898 - $6,009	95%
Blue Cross Blue Shieldmajor	$2,557 - $20,400	41%
Aetnamajor	$5,898 - $6,009	95%
HealthPartners	$5,898 - $6,009	95%
Sanford Health Plan	$663 - $5,543	11%
UCare	$5,840 - $6,418	95%
+ 1 smaller / regional plan	$6,012 - $6,418

Government programs also on file: Medicare.

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 Sanford Medical Center Bismarck 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 Sanford Medical Center Bismarck

Compare: Gallbladder removal (laparoscopic) at other ND hospitals

CHI St Alexius Health Dickinson · Dickinson $1,424
CHI St Alexius Health Williston · Williston $1,478
Essentia Health · Fargo $5,834
CHI St Alexius Health · Bismarck $5,951
Sanford Medical Center Fargo · Fargo $6,009
Trinity Hospitals · Minot $6,176
Altru Hospital · Grand Forks $6,485

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