CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Valley Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $11,985
  • Cash Discount Price: $22,984
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Valley Medical Center is $11,985. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $22,984. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.94x the Medicare baseline. Located in 400 S 43Rd St, Renton, WA.
Cash / Self-Pay
$22,984

Average discount available for prompt cash payment at this facility.

Insurance Median
$11,985

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: $22,984 (372%)
Insurance Median: $11,985 (194%)
Cash: $22,984 (372% of Medicare)
Ins. Median: $11,985 (194% 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
Aetna $324 - $21,418 5%
Soundpath Health-Termed [210113] $5,061 82%
Blue Cross Blue Shield $5,498 - $19,352 89%
Regence Blue Shield [170100] $5,498 89%
Regence Uniform [130111] $5,498 89%
Humana $7,020 - $7,161 114%
Medicare (plans) $7,020 114%
UnitedHealthcare $7,020 - $23,498 114%
Chpw [130116] $11,232 182%
Molina [130117] $11,935 193%
Benefit Md [150113] $11,985 194%
Carpenters Trust [150122] $11,985 194%
Cement Masons And Plasterers [150127] $11,985 194%
Coresource [150109] $11,985 194%
Employee Benefit Management Services [150108] $11,985 194%
Fc Moda Health [150139] $11,985 194%
First Choice Health Administrators [150110] $11,985 194%
First Choice Health Comp [150112] $11,985 194%
First Choice [150134] $11,985 194%
Health Net [150111] $11,985 194%
Here [150114] $11,985 194%
Hotel Employees Health Trust [150115] $11,985 194%
International Longshore & Warehouse Union [150116] $11,985 194%
Kitsap Physician Services [150118] $11,985 194%
Loomis Benefits West [150119] $11,985 194%
Mega [150120] $11,985 194%
Midwest [150121] $11,985 194%
Nw Administrators [150123] $11,985 194%
Operating Engineers [150125] $11,985 194%
Painters Trust [150126] $11,985 194%
Puget Sound Electric [150131] $11,985 194%
Seattle Plumb And Pipe [150132] $11,985 194%
Trusteed Plan [150101] $11,985 194%
United Employee Benefit Trust [150137] $11,985 194%
Washington Bakers Trust [150102] $11,985 194%
Washington Employers Trust [150103] $11,985 194%
Washington State Health Ins Pool [150104] $11,985 194%
Welfare Pension Administration Services [150105] $11,985 194%
Zenith Admin [150106] $11,985 194%
Zzjohn Alden [150117] $11,985 194%
Zzprincipal Financial Group [150128] $11,985 194%
Zzprovidence [150129] $11,985 194%
Cigna $19,898 322%
Kaiser Washington Contracted [130118] $24,959 404%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 S 43Rd St, Renton, WA 98055
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals