CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Arbor Health Morton Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $629
Cash Discount Price: $1,271
vs. Medicare Baseline: 0.10x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Arbor Health Morton Hospital is $629. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,271. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.10x the Medicare baseline. Located in 521 Adams Street, Morton, WA.

Cash / Self-Pay

$1,271

Average discount available for prompt cash payment at this facility.

Insurance Median

$629

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: $1,271 (21%)

Insurance Median: $629 (10%)

Cash: $1,271 (21% of Medicare)

Ins. Median: $629 (10% 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
Amerigroup-All Other Plans	$381	6%
Comm Health Healthy Options	$381	6%
Kaiser Mcaid	$381	6%
Molina Mcaid	$381	6%
UnitedHealthcare	$381 - $1,874	6%
Comm Health Basic Sub - All Other Plans	$457	7%
Aetna	$626 - $899	10%
Amerigroup Mcr Adv	$626	10%
Comm Health Mcr Adv	$626	10%
Healthnet Mcr Adv - All Plans	$626	10%
Humana	$626	10%
Mcr Railroad Mcr Adv - All Plans	$626	10%
Medicare (plans)	$626	10%
Premera Hmo Mcr Adv	$626	10%
Rural Health Mcare - All Plans	$626	10%
Regence Blue Shield Mcr Adv	$632	10%
Molina Mcr Adv	$657	11%
Wellcare Mcr Adv - All Plans	$657	11%
Comm Health Pebb	$686	11%
First Choice-All Plans	$912	15%
Kaiser Comm-All Other Plans	$921	15%
Molina Marketplace-All Other Plans	$1,054 - $1,406	17%
Regence Blue Shield Ump-All Other Plans	$1,230 - $1,640	20%
Premera First-All Other Plans	$1,581 - $2,109	26%
Cigna	$1,634 - $2,179	26%

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 $1,271.
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 Arbor Health Morton 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.