CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Sunrise Hospital and Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $821
Cash Discount Price: $2,354
vs. Medicare Baseline: 0.13x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Sunrise Hospital and Medical Center is $821. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,354. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.13x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$2,354

Average discount available for prompt cash payment at this facility.

Insurance Median

$821

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: $2,354 (38%)

Insurance Median: $821 (13%)

Cash: $2,354 (38% of Medicare)

Ins. Median: $821 (13% 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
Amerigroup	$407 - $754	7%
Health Plan Nevada	$407 - $792	7%
Molina	$427 - $831	7%
Silver Summit	$427 - $831	7%
Humana	$473 - $723	8%
Community Care Health	$621 - $1,590	10%
Molina Healthcare	$621 - $1,653	10%
Sierra Hpn	$621 - $1,590	10%
Healthcare Partners Of Nv	$623 - $844	10%
Aetna	$636 - $3,906	10%
Alignment Health Plan	$636	10%
Blue Cross Blue Shield	$636 - $6,774	10%
United	$649 - $6,450	11%
Caremore	$667	11%
Culinary Health Fund	$676 - $1,767	11%
Hometown Health Providers	$731 - $13,147	12%
Multiplan	$844	14%
Sierra	$854 - $5,633	14%
Cigna	$861 - $6,496	14%
Select Health	$1,288 - $5,307	21%
Caresource	$1,653	27%
Corvel	$1,738 - $4,854	28%
Olympus Medsave Usa	$1,830 - $5,110	30%
Ambetter / Centene	$2,626	43%
Health Services Coalition	$4,096 - $9,713	66%
Legacy Provider Network	$4,599	74%
Comp-Med Workers Comp	$4,957	80%

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 $2,354.
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 Sunrise Hospital and Medical Center 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.