CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Artesia General Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,959
Cash Discount Price: $1,264
vs. Medicare Baseline: 0.32x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Artesia General Hospital is $1,959. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,264. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.32x the Medicare baseline. Located in 702 N 13Th Street, Artesia, NM.

Cash / Self-Pay

$1,264

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,959

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: $1,264 (20%)

Insurance Median: $1,959 (32%)

Cash: $1,264 (20% of Medicare)

Ins. Median: $1,959 (32% 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
Zelis	$575 - $6,784	9%
First Health	$813 - $7,276	13%
Blue Cross Blue Shield	$1,264 - $5,653	20%
Geha	$1,474 - $5,653	24%
Omni Networks	$1,474	24%
Three Rivers Provider Network	$1,580	26%
Cigna	$1,790 - $1,895	29%
Galaxy Health	$1,895	31%
One Health Plan	$1,895	31%
Multiplan	$1,916	31%
United Payors & United Providers	$1,959	32%
Providence Risk & Insurance Services	$2,001 - $11,307	32%
Molina Healthcare Of New Mexico	$3,828 - $9,498	62%
Presbyterian Health Plan	$3,828 - $5,653	62%
UnitedHealthcare	$3,828 - $5,653	62%
Triwest	$5,540	90%
Humana	$5,653 - $6,219	92%
Vistacare Hospice	$5,653	92%
New Mexico Health Connections	$9,611	156%

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 $1,264.
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 Artesia General 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.