CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Uva Health Culpeper Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $6,960
Cash Discount Price: $8,421
vs. Medicare Baseline: 1.13x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Uva Health Culpeper Medical Center is $6,960. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,421. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.13x the Medicare baseline. Located in 501 Sunset Lane, Culpeper, VA.

Cash / Self-Pay

$8,421

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,960

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: $8,421 (136%)

Insurance Median: $6,960 (113%)

Cash: $8,421 (136% of Medicare)

Ins. Median: $6,960 (113% 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
Champva [50002]	$656 - $670	11%
Tricare	$656 - $670	11%
Aetna	$1,749 - $6,317	28%
Cigna	$4,599 - $16,298	74%
Blue Ridge Pace [10510]	$5,459	88%
Medicaid / KanCare	$5,459	88%
Beacon Health Options [40012]	$5,800	94%
Blue Cross Blue Shield	$6,065 - $18,114	98%
HMO Part B [10099]	$6,065	98%
Humana	$6,065 - $6,380	98%
Medicare (plans)	$6,065 - $6,255	98%
UnitedHealthcare	$6,065 - $34,123	98%
VA Ccn [99926]	$6,065 - $6,255	98%
VA Ccn [99927]	$6,065 - $6,255	98%
Carefirst [30007]	$6,090 - $6,898	99%
Commercial Contracted Hb Only [40056]	$6,090	99%
Commercial Generic [40000]	$6,090 - $8,120	99%
Veterans Administration [99910]	$6,255	101%
Commercial Contracted Tpa [40055]	$6,960 - $8,120	113%
Geha [40009]	$7,408 - $23,926	120%
Umwa [40037]	$8,120	131%
Healthsmart [40013]	$8,700	141%
Multiplan Generic [40035]	$8,816 - $9,860	143%
Vhn Generic [40040]	$8,816 - $9,860	143%
First Health Generic [40033]	$9,512	154%
Gateway Health Alliance [40034]	$9,860	160%
Onenet Workers Comp Generic [60010]	$10,162	165%
Kaiser Permenente [40014]	$10,440	169%

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 $8,421.
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 Uva Health Culpeper 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.