CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Huron Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,372
Cash Discount Price: $5,599
vs. Medicare Baseline: 0.22x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Huron Regional Medical Center is $1,372. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,599. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.22x the Medicare baseline. Located in 172 Fourth Street Se, Huron, SD.

Cash / Self-Pay

$5,599

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,372

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: $5,599 (91%)

Insurance Median: $1,372 (22%)

Cash: $5,599 (91% of Medicare)

Ins. Median: $1,372 (22% 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
Avera	$749 - $1,372	12%
UnitedHealthcare	$1,322	21%
Midlands	$1,439	23%
Sanford	$1,490	24%
Medica	$8,426	136%
Healthpartners	$8,958	145%
Tlc Advantage	$9,052	147%
Wellmark	$9,068	147%

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 $5,599.
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 Huron Regional 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.