CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Bay Area Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $3,010
Cash Discount Price: $2,376
vs. Medicare Baseline: 0.49x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Bay Area Hospital is $3,010. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,376. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.49x the Medicare baseline. Located in 1775 Thompson Road, Coos Bay, OR.

Cash / Self-Pay

$2,376

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,010

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: $2,376 (38%)

Insurance Median: $3,010 (49%)

Cash: $2,376 (38% of Medicare)

Ins. Median: $3,010 (49% 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
Nasomah Hlth Grp - All Plans	$1,901	31%
Pacificsource - All Plans	$2,693	44%
Moda Connexus/Synergy	$2,820	46%
First Choice - All Plans	$2,883	47%
Aetna	$2,915	47%
Cigna	$2,915	47%
Providence - All Other Plans	$2,946	48%
Healthnet Comm- All Other Plans	$3,010	49%
UnitedHealthcare	$3,010	49%
Southwest Oregon Ipa - All Plans	$5,973	97%
Healthnet Mcaid	$7,197	117%
Healthnet Mcr Adv	$7,773	126%
Moda Hlth Mcr Adv	$7,917	128%
Blue Cross Blue Shield	$11,344	184%
Moda Beacon - All Other Plans	$19,503	316%
Providence Pebb	$27,780	450%
Ods Ppo/Pos - All Plans	$27,996	453%

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 $2,376.
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 Bay Area 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.