CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Trios Health

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $8,201
  • Cash Discount Price: $9,631
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Trios Health is $8,201. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,631. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.33x the Medicare baseline. Located in 3780 Plaza Way, Kennewick, WA.
Cash / Self-Pay
$9,631

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,201

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: $9,631 (156%)
Insurance Median: $8,201 (133%)
Cash: $9,631 (156% of Medicare)
Ins. Median: $8,201 (133% 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
Community Health Plan Of Washington $2,294 37%
Molina Healthcare Of Washington $2,294 37%
Coordinated Care Of Washington Inc $2,363 38%
UnitedHealthcare $5,885 - $11,036 95%
Aetna $7,614 123%
Meritain Health $8,789 142%
Asuris Northwest Health $8,889 144%
Cigna $10,496 170%
Lifewise Health Plan Of Wa $13,957 226%
Blue Cross Blue Shield $15,166 246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3780 Plaza Way, Kennewick, WA 99338
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals