CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Erlanger Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,069
Cash Discount Price: $702
vs. Medicare Baseline: 0.17x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Erlanger Medical Center is $1,069. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $702. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.17x the Medicare baseline. Located in 975 E 3Rd St, Chattanooga, TN.

Cash / Self-Pay

$702

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,069

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: $702 (11%)

Insurance Median: $1,069 (17%)

Cash: $702 (11% of Medicare)

Ins. Median: $1,069 (17% 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
Humana	$529 - $5,352	9%
UnitedHealthcare	$550 - $6,222	9%
Bluecare	$569 - $5,566	9%
Cigna	$582 - $5,352	9%
Amerigroup	$597 - $1,779	10%
Caresource	$597 - $10,704	10%
Peach State Hlth Plan	$597	10%
Blue Cross Blue Shield	$626 - $7,220	10%
Alexian	$851 - $5,352	14%
Clover	$851 - $5,352	14%
Medicare (plans)	$851	14%
Upmc	$851 - $5,352	14%
Aetna	$855 - $5,513	14%
Pruitthealth Premier	$872	14%
American Health	$877 - $5,513	14%
Devoted Health	$885 - $5,566	14%
Nhc	$894 - $5,620	14%
Atrio Health	$936 - $5,887	15%
Simpra Advantage	$936	15%
Ambetter / Centene	$1,064 - $6,690	17%
Caresource Ga	$1,169 - $2,097	19%
Caresource Tn	$1,169 - $2,097	19%
Olympus	$1,277 - $1,447	21%
Pnoa	$1,293 - $13,380	21%
Alliant	$1,362	22%
Caresource Nc	$1,411 - $2,097	23%
Occunet	$1,490 - $5,084	24%
Point Comfort Underwriters	$1,495 - $1,532	24%
Wellpoint	$4,890	79%

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 $702.
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 Erlanger 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.