CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Lake Chelan Community Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $9,403
Cash Discount Price: $10,683
vs. Medicare Baseline: 1.52x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Lake Chelan Community Hospital is $9,403. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,683. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.52x the Medicare baseline. Located in 110 S Apple Blossom Dr, Chelan, WA.

Cash / Self-Pay

$10,683

Average discount available for prompt cash payment at this facility.

Insurance Median

$9,403

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: $10,683 (173%)

Insurance Median: $9,403 (152%)

Cash: $10,683 (173% of Medicare)

Ins. Median: $9,403 (152% 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 Op Only - All Plans	$381 - $9,989	6%
Coordinated Care Mcaid	$381 - $9,989	6%
UnitedHealthcare	$381 - $15,899	6%
Medicare (plans)	$626 - $9,403	10%
Molina - All Plans	$626 - $15,796	10%
Coordinated Care Comm - All Other Plans	$813 - $16,781	13%
Premera First - All Plans	$895 - $12,822	14%
First Choice - All Plans	$906 - $16,241	15%
Aetna	$3,844 - $15,386	62%
Corvel - All Plans	$4,058 - $16,241	66%
Multiplan - All Plans	$15,215	246%

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 $10,683.
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 Lake Chelan Community 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.