CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Springfield Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $3,485
Cash Discount Price: $4,485
vs. Medicare Baseline: 0.56x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Springfield Hospital is $3,485. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,485. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.56x the Medicare baseline. Located in Po Box 2003, Springfield, VT.

Cash / Self-Pay

$4,485

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,485

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: $4,485 (73%)

Insurance Median: $3,485 (56%)

Cash: $4,485 (73% of Medicare)

Ins. Median: $3,485 (56% 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
Blue Cross Blue Shield	$1,394 - $8,292	23%
Mvp Health Plan	$1,394 - $6,385	23%
UnitedHealthcare	$1,394 - $7,463	23%
Wellsense	$1,394 - $8,292	23%
Harvard Pilgrim Health Care	$1,408 - $6,861	23%
Wellcare	$1,436 - $3,245	23%
Tufts Health Plan	$2,254 - $5,095	36%
Cigna	$2,575 - $8,624	42%
Multiplan	$3,044 - $6,882	49%
Aetna	$3,485 - $7,877	56%
Coventry	$3,485 - $7,877	56%
Beacon Health	$3,668 - $8,292	59%
Manage Behavioral Health	$3,668 - $8,292	59%
Martin'S Point Healthcare	$3,668 - $8,292	59%

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 $4,485.
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 Springfield Hospital 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.