CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Methodist Fremont Health

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $9,202
Cash Discount Price: $4,254
vs. Medicare Baseline: 1.49x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Methodist Fremont Health is $9,202. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,254. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.49x the Medicare baseline. Located in 450 East 23Rd St, Fremont, NE.

Cash / Self-Pay

$4,254

Average discount available for prompt cash payment at this facility.

Insurance Median

$9,202

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: $4,254 (69%)

Insurance Median: $9,202 (149%)

Cash: $4,254 (69% of Medicare)

Ins. Median: $9,202 (149% 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
Elite Choice	$1,066 - $13,716	17%
Ambetter / Centene	$1,142 - $13,695	18%
Blue Cross Blue Shield	$1,341 - $10,889	22%
Midlands Choice	$1,468 - $11,436	24%
Elevate By Medica	$4,601 - $5,475	74%
Medica	$4,872 - $6,616	79%
Medicare (plans)	$4,872 - $6,748	79%
Alliance Nhn	$5,413 - $7,081	88%
Medica Choice	$5,413 - $10,706	88%
Aetna	$6,496 - $11,679	105%
Ne Furniture Mart	$6,496 - $10,098	105%
UnitedHealthcare	$6,496 - $10,962	105%
Humana	$6,616	107%
Multiplan	$9,743 - $10,949	158%

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 $4,254.
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 Methodist Fremont 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.