CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: North Vista Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $6,686
Cash Discount Price: $6,575
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at North Vista Hospital is $6,686. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,575. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.08x the Medicare baseline. Located in 1409 East Lake Mead Blvd, North Las Vegas, NV.

Cash / Self-Pay

$6,575

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,686

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: $6,575 (106%)

Insurance Median: $6,686 (108%)

Cash: $6,575 (106% of Medicare)

Ins. Median: $6,686 (108% 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
Medicaid / KanCare	$1,574 - $1,590	25%
Blue Cross Blue Shield	$1,590 - $21,793	26%
Molina Healthcare	$1,590 - $6,576	26%
Silver Summit	$1,590 - $10,521	26%
Three Rivers	$1,725	28%
Provider Select	$1,760	28%
Worker Comp	$1,778	29%
Sierra Health	$2,469	40%
UnitedHealthcare	$3,303 - $4,661	53%
Triwest	$6,510	105%
Aetna	$6,576 - $6,665	106%
Intermountain Healthcare (Hcp)	$6,576 - $11,836	106%
Medicare (plans)	$6,576	106%
Renal Payor Solutions	$6,576	106%
Tricare	$6,576	106%
Alignment	$6,707	109%
Employer Direct Healthcare	$9,206	149%
6 Degrees Health	$9,851 - $13,152	159%
Health Services Coalition	$9,851 - $12,494	159%
Imperial Insurance Companies	$9,851 - $12,165	159%
Naphcare	$9,851 - $10,193	159%
Nevada Health Partners	$9,851 - $12,575	159%

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 $6,575.
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 North Vista 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.