CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: University Health System, Inc

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $3,983
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.64x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at University Health System, Inc is $3,983. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.64x the Medicare baseline. Located in 1924 Alcoa Highway, Knoxville, TN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,983

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%)
Insurance Median: $3,983 (64%)
Ins. Median: $3,983 (64% 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.

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
Aetna $599 - $5,541 10%
Blue Cross Blue Shield $599 - $5,594 10%
Choicecare $599 - $871 10%
Humana $599 - $5,327 10%
Nhc $599 - $5,647 10%
UnitedHealthcare $599 - $8,149 10%
Bluecare $602 - $669 10%
Cigna $604 - $6,598 10%
American Health $616 - $5,647 10%
Tenncare $669 11%
Coventry $895 - $3,100 14%
Multiplan $895 14%
Initial Group $933 15%
First Health $985 16%
Beechstreet $1,057 17%
Novanet $1,218 20%
Wellpoint $3,877 - $5,647 63%
Devoted Health $5,541 90%
Wellcare-Windsor Medadv $5,594 91%
Medicare (plans) $5,647 - $5,700 91%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1924 Alcoa Highway, Knoxville, TN 37920
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals