CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,997
Cash Discount Price: $2,636
vs. Medicare Baseline: 0.32x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Univ. of Vermont - Fletcher Allen Health Care is $1,997. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,636. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.32x the Medicare baseline. Located in 111 Colchester Ave, Burlington, VT.

Cash / Self-Pay

$2,636

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,997

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: $2,636 (43%)

Insurance Median: $1,997 (32%)

Cash: $2,636 (43% of Medicare)

Ins. Median: $1,997 (32% 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
UnitedHealthcare	$430 - $5,880	7%
Mvp	$515 - $6,843	8%
Blue Cross Blue Shield	$575 - $10,991	9%
Aetna	$606 - $5,880	10%
Capital District Physicians' Health Plan	$606 - $5,880	10%
Humana	$606 - $5,880	10%
Martins Point	$606 - $6,027	10%
St. Regis	$606 - $5,880	10%
Veterans Affairs Community Care Network	$606 - $5,880	10%
Fidelis Care	$697 - $6,468	11%
Wellpath	$849 - $8,820	14%
Ebpa	$2,030	33%
Harvard Pilgrim	$2,109	34%
Magnacare	$2,109	34%
Coventry	$2,241	36%
Cigna	$2,307	37%
Nppn	$2,372	38%

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 $2,636.
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 Univ. of Vermont - Fletcher Allen Health Care 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.