CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Forks Community Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $7,971
  • Cash Discount Price: $11,316
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Forks Community Hospital is $7,971. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,316. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.29x the Medicare baseline. Located in 530 Bogachiel Way, Forks, WA.
Cash / Self-Pay
$11,316

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,971

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: $11,316 (183%)
Insurance Median: $7,971 (129%)
Cash: $11,316 (183% of Medicare)
Ins. Median: $7,971 (129% 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
Medicare (plans) $318 5%
Medicaid / KanCare $2,996 - $7,193 49%
Coordinated Care (Mco) Mcd-All Plans $3,236 - $7,330 52%
UnitedHealthcare $3,856 - $16,681 62%
Community Health Network Mcr-All Other Plans $3,899 - $8,831 63%
Humana $3,899 - $8,831 63%
Tricare $3,899 - $8,831 63%
Triwest-All Plans $3,899 - $8,831 63%
Ambetter / Centene $4,523 - $10,244 73%
Wellcare Med Adv - All Plans $4,523 - $10,244 73%
Regence-All Other Plans $4,989 - $11,300 81%
Community Health Exchange $5,632 - $12,756 91%
Molina Commercial-All Other Plans $7,971 - $18,055 129%
Blue Cross Blue Shield $8,231 - $18,644 133%
Aetna $8,664 - $19,625 140%
Cigna $8,664 - $19,625 140%
First Choice-All Plans $8,664 - $19,625 140%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 530 Bogachiel Way, Forks, WA 98331
  • CMS Rating: No CMS Rating
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals