CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: American Fork Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,173
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.84x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at American Fork Hospital is $5,173. 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 0.84x the Medicare baseline. Located in 170 North 1100 East, American Fork, UT.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,173

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: $5,173 (84%)
Ins. Median: $5,173 (84% 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 $103 - $6,733 2%
American Health $103 - $6,366 2%
Blue Cross Blue Shield $103 - $8,709 2%
Health Partners Of Nevada $103 - $6,121 2%
Health Plan Of Nevada $103 - $4,754 2%
Healthy U $103 - $4,754 2%
Humana $103 - $6,427 2%
Molina $103 - $6,733 2%
Selecthealth $103 - $7,262 2%
UnitedHealthcare $103 - $8,709 2%
Intermountain Caregiver Plan $4,696 - $7,262 76%
Triwest $5,593 91%
Awh Connected $8,709 141%
Byu Athletics $8,709 141%
Campbell Scientific $8,709 141%
Deseret Mutual $8,709 141%
Emi $8,709 141%
Emi Health $8,709 141%
Franklin County $8,709 141%
Ifit $8,709 141%
Juniper Systems $8,709 141%
Lw Miller $8,709 141%
Pehp $8,709 141%
Tanner Llc $8,709 141%
Utah Tech $8,709 141%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 170 North 1100 East, American Fork, UT 84003
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals