CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Blount Memorial Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $7,963
Cash Discount Price: $6,373
vs. Medicare Baseline: 1.29x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Blount Memorial Hospital is $7,963. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,373. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.29x the Medicare baseline. Located in 907 E Lamar Alexander Parkway, Maryville, TN.

Cash / Self-Pay

$6,373

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,963

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: $6,373 (103%)

Insurance Median: $7,963 (129%)

Cash: $6,373 (103% of Medicare)

Ins. Median: $7,963 (129% 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
UnitedHealthcare	$2,648 - $7,232	43%
Medicaid / KanCare	$3,166 - $4,993	51%
Cigna	$3,600 - $7,702	58%
Prisma Health Seniorcare Pace - Midlands [5400]	$4,769	77%
Prisma Health Seniorcare Pace-Upstate [5200]	$4,769	77%
Promise Health Plan Contracted [2401]	$7,195 - $12,334	116%
Golden Rule Insurance Company [2991]	$7,232	117%
Oxford Health Plans [2992]	$7,232	117%
Mvp Health Care [3037]	$7,702	125%
Orangeburg Senior Helping Center Pace [5401]	$8,223	133%
Bob Jones Univ-Pai [821]	$12,334	200%
Preferred Administrators Contracted [2839]	$14,390	233%
Medcost [2940]	$15,212 - $17,062	246%
Atlantic Packaging Contracted [4833]	$15,418	250%
Aps Healthcare System [2981]	$16,446	266%
Multiplan/Phcs Contracted [2950]	$18,296	296%
Aetna	$18,501	300%
Meritain Health Contracted [2200]	$18,501	300%
Nippon [2300]	$18,501	300%
Vsp Vision Care [2986]	$18,501	300%
First Health Contracted [2952]	$19,118	310%
Furman Int/Allen University Student [2951]	$19,118	310%
Quiktrip-First Health [3067]	$19,118	310%

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 $6,373.
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 Blount Memorial 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.