CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Legacy Good Samaritan Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $13,723
Cash Discount Price: $1,219
vs. Medicare Baseline: 2.22x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Legacy Good Samaritan Medical Center is $13,723. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,219. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 2.22x the Medicare baseline. Located in 1015 Nw 22Nd Avenue, W121, Portland, OR.

Cash / Self-Pay

$1,219

Average discount available for prompt cash payment at this facility.

Insurance Median

$13,723

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: $1,219 (20%)

Insurance Median: $13,723 (222%)

Cash: $1,219 (20% of Medicare)

Ins. Median: $13,723 (222% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 222% of the Medicare baseline (a markup of 122%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Kaiser	$6,720 - $13,440	109%
Atrio	$6,921	112%
Aetna	$7,056 - $15,979	114%
Healthnet	$7,123 - $15,295	115%
Careoregon	$7,257	117%
Ageright	$7,392	120%
Moda	$7,526 - $25,989	122%
Blue Cross Blue Shield	$13,624 - $19,970	221%
First Health	$13,821	224%
Cigna	$15,483 - $19,898	251%
UnitedHealthcare	$20,708	335%

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 $1,219.
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 Legacy Good Samaritan 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.