CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Prisma Health Oconee Memorial Hospital

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$6,542

about 1.1× the $6,176 Medicare rate · typically $6,278–$7,905

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,387

About the fair price

about $155 under the fair price · 1.0× Medicare

Medicare pays $6,176 Fair price $6,542 This hospital $6,387 Cash price $13,362 Hospital's list price $20,557

How we calculate the fair BaseRate →

How this hospital compares to other SC hospitals

Highest price of the 9 SC hospitals we have prices for — worth calling around.

Cheapest $3,000 Priciest $6,387

Black dot = this hospital, among the 9 SC hospitals with a price for this procedure. Full list below.

A fair price for a Gallbladder removal (laparoscopic) is about $6,542 (about 1.1× the $6,176 Medicare rate). Prisma Health Oconee Memorial Hospital charges insurers about $6,387, or about $13,362 in cash — about the fair price. Located in Seneca, SC.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$3,166 - $6,372	51%
Blue Cross Blue Shieldmajor	$941 - $12,374	15%
Aetnamajor	$6,464 - $16,240	105%
Cignamajor	$6,156 - $14,267	100%
Humanamajor	$1,258 - $6,402	20%
Molina	$6,772	110%
MVP Health Care	$14,267	231%
WellCare	$6,464	105%
+ 21 smaller / regional plans	$1,122 - $19,118

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 5 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 13,362), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 47562.

Insurance Before you use insurance

Call your insurance company to confirm Prisma Health Oconee Memorial Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 47562.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Prisma Health Oconee Memorial Hospital

Compare: Gallbladder removal (laparoscopic) at other SC hospitals

Piedmont Medical Center · Rock Hill $3,000
Colleton Medical Center · Walterboro $4,950
Roper St Francis Hospital-Berkeley Inc · Summerville $5,710
MUSC Medical Center · Charleston $5,735
Roper Hospital · Charleston $5,834
Novant Health Hilton Head Medical Center · Hilton Head Island $5,848
East Cooper Medical Center · Mount Pleasant $5,848
Coastal Carolina Hospital · Hardeeville $5,848

Insurance negotiated median for the same procedure, sorted lowest first.