CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Olympic Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $5,910
Cash Discount Price: $6,881
vs. Medicare Baseline: 0.96x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Olympic Medical Center is $5,910. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,881. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.96x the Medicare baseline. Located in 939 Caroline St, Port Angeles, WA.

Cash / Self-Pay

$6,881

Average discount available for prompt cash payment at this facility.

Insurance Median

$5,910

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: $6,881 (111%)

Insurance Median: $5,910 (96%)

Cash: $6,881 (111% of Medicare)

Ins. Median: $5,910 (96% 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
Regence Uniform	$922 - $8,694	15%
Community Health Plan Of Washington	$1,319 - $12,442	21%
Ambetter / Centene	$1,484 - $14,774	24%
Cigna	$1,606 - $15,148	26%
Aetna	$1,649 - $15,552	27%
First Choice Network	$1,649 - $15,552	27%
Gmr/Caldera Care	$1,649 - $15,552	27%
Hma	$1,649 - $15,552	27%
Lifewise	$1,649 - $15,552	27%
Premera	$1,649 - $15,552	27%
Regence	$1,649 - $15,552	27%
UnitedHealthcare	$1,649 - $15,552	27%
Wellcare	$3,480	56%
Coordinated Care	$5,772	93%
Molina	$5,772 - $7,422	93%
Wellpoint (Formerly Amerigroup)	$6,047	98%

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 $6,881.
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 Olympic 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.