CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Saint Mary's Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,576
  • Cash Discount Price: $6,575
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Saint Mary's Regional Medical Center is $6,576. 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 1.06x the Medicare baseline. Located in 235 W 6Th St, Reno, NV.
Cash / Self-Pay
$6,575

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,576

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: $6,576 (106%)
Cash: $6,575 (106% of Medicare)
Ins. Median: $6,576 (106% 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.

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
Molina Healthcare Of Nv $633 - $6,576 10%
Access To Healthcare Network $1,351 22%
Blue Cross Blue Shield $1,590 - $12,680 26%
Health Plan Of Nevada $1,590 - $6,576 26%
Medicaid / KanCare $1,590 26%
Silver Summit $1,590 - $11,508 26%
Occunet $1,725 - $13,152 28%
Three Rivers $1,725 28%
Worker Compensation $1,778 29%
UnitedHealthcare $3,187 - $6,773 52%
Aetna $3,939 - $6,576 64%
Medicare (plans) $6,576 106%
Saint Mary Health Plan $6,576 - $7,562 106%
Sierra $6,576 106%
Tricare $6,576 106%
Triwest $6,576 106%
Alignment $6,707 109%
Pam $7,562 122%
Veterans Evaluation Service Ves $8,220 133%
Employer Direct $9,206 149%
Home Town Test $9,206 149%
Naphcare $9,206 149%
Asserta Health $9,864 160%
Imperial Insurance Company $9,864 - $12,165 160%
Nevada Health Partners $12,218 198%
6 Degrees $13,152 213%
Nv Preferred $13,983 - $14,145 226%
Custom Ink $14,145 229%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 235 W 6Th St, Reno, NV 89503
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals