CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: UNM Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $5,956
Cash Discount Price: $4,934
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at UNM Hospital is $5,956. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,934. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.96x the Medicare baseline. Located in 2211 Lomas Boulevard Ne, Albuquerque, NM.

Cash / Self-Pay

$4,934

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,956

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: $4,934 (80%)

Insurance Median: $5,956 (96%)

Cash: $4,934 (80% of Medicare)

Ins. Median: $5,956 (96% 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 Cross Blue Shield	$623 - $5,956	10%
Humana	$5,360	87%
Aetna	$5,956	96%
Alamo Navajo School Board	$5,956	96%
Indian Health Abq	$5,956	96%
Kewa Pueblo Health Corporation	$5,956	96%
Pueblo Of Isleta	$5,956	96%
Pueblo Of Jemez	$5,956	96%
Pueblo Of Sandia	$5,956	96%
UnitedHealthcare	$5,956	96%
Devoted Health	$7,147	116%
Christus	$8,933	145%
Albuquerque Public Schools	$11,911	193%
Presbyterian Network	$11,911	193%
Christus Health Exchange Plan	$13,400	217%
Imperial Health Exchange	$14,591	236%
Molina	$14,591	236%

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 $4,934.
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 UNM Hospital 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.