CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Physicians Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,485
  • Cash Discount Price: $6,223
  • vs. Medicare Baseline: 0.89x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Physicians Regional Medical Center is $5,485. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,223. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.89x the Medicare baseline. Located in 7565 Dannaher Way Powell, Powell, TN.
Cash / Self-Pay
$6,223

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,485

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: $6,223 (101%)
Insurance Median: $5,485 (89%)
Cash: $6,223 (101% of Medicare)
Ins. Median: $5,485 (89% 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
Veterans Eval Services $587 10%
Aetna $2,940 - $5,559 48%
Amerigroup $3,276 - $5,667 53%
Amerigroup Community Care $3,276 53%
Medicaid / KanCare $3,585 58%
UnitedHealthcare $3,585 - $28,850 58%
Blue Cross Blue Shield $4,236 - $9,237 69%
Tricare $5,211 84%
Humana $5,397 87%
Medicare (plans) $5,397 87%
Node Bluecare Plus Tn Mcr Adv $5,397 - $5,485 87%
Department Of Veterans Affairs $5,485 89%
Node Hospice Non Par Agree $5,485 89%
Node Va $5,485 89%
Node Devoted Health Mcr Adv $5,505 89%
Node Farm Bureau Mcr Adv $5,505 89%
Node Healthspring Mcr Adv $5,559 90%
Wellcare $5,704 92%
Self Pay $5,912 - $6,534 96%
Node Nhc Mcr Adv $5,937 96%
Node Us Dept Of Labor $6,856 111%
Us Department Of Labor $6,856 111%
Novanet Work Comp Tn $8,664 140%
Occunet Work Comp Tn $8,752 142%
Tn Work Comp $8,752 142%
Ambetter / Centene $10,147 164%
Node Point Comfort Underwriters $10,147 164%
Cigna $12,251 - $12,651 198%
Multiplan $14,672 - $20,483 238%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7565 Dannaher Way Powell, Powell, TN 37849
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals