CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Lexington Medical Center

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$6,894

about 1.1× the $6,176 Medicare rate · typically $6,289–$10,210

modeled estimate · not a bill or quote

What this hospital charges insurers

$9,179

Above the fair price

about $2,285 over the fair price · 1.5× Medicare

Medicare pays $6,176 Fair price $6,894 This hospital $9,179 Cash price $25,316 Hospital's list price $25,316

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 $9,179

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 $6,894 (about 1.1× the $6,176 Medicare rate). Lexington Medical Center charges insurers about $9,179, or about $25,316 in cash — above the fair price. Located in West Columbia, SC.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $6,894. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$14,609	237%
Blue Cross Blue Shieldmajor	$5,844 - $28,754	95%
Aetnamajor	$6,253	101%
Cignamajor	$32,984	534%
Humanamajor	$6,194	100%
Ambetter (Centene)	$10,519	170%
Molina	$7,012 - $20,511	114%
+ 2 smaller / regional plans	$6,136 - $26,284

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 25,316), 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 Lexington Medical Center 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 Lexington Medical Center

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.