CMS Price Transparency Data
Gallbladder removal (laparoscopic)
Facility: Seattle Children's Hospital
Billing Code: 47562 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 47562
- Insurance Median: $1,551
- Cash Discount Price: $67,934
- vs. Medicare Baseline: 0.25x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Seattle Children's Hospital is $1,551. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $67,934. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.25x the Medicare baseline. Located in 4800 Sand Point Way Ne, Po Box C-5371, Seattle, WA.
Cash / Self-Pay
$67,934
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,551
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: $67,934 (1100%)
Insurance Median: $1,551 (25%)
Cash: $67,934 (1100% of Medicare)
Ins. Median: $1,551 (25% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Child Hearing League [17301] | $381 | 6% |
| Hospice [17306] | $381 | 6% |
| Maple Lane School [17309] | $381 | 6% |
| Medicaid / KanCare | $381 | 6% |
| Chpw [15802] | $393 | 6% |
| Coordinated Care [15815] | $400 | 6% |
| Icw Wellpoint [15822] | $400 | 6% |
| Kaiser [15818] | $400 | 6% |
| Molina [15809] | $400 | 6% |
| Opticare [15895] | $400 | 6% |
| Wellpoint [15814] | $400 | 6% |
| Ubh Community & State [15819] | $419 | 7% |
| UnitedHealthcare | $419 - $1,731 | 7% |
| Eye Quest [15894] | $438 | 7% |
| Usfhp [12208] | $806 | 13% |
| Coordinated Care [12267] | $1,086 | 18% |
| Chpw Cascade [12228] | $1,121 | 18% |
| Molina Marketplace [12831] | $1,134 | 18% |
| Regence Ump [12263] | $1,343 | 22% |
| Pb Premera [11601] | $1,496 | 24% |
| Premera [11600] | $1,496 | 24% |
| Administrators [13102] | $1,551 | 25% |
| Allied [13129] | $1,551 | 25% |
| Assurant Health Fc [13135] | $1,551 | 25% |
| Coastal Administrative [13140] | $1,551 | 25% |
| Ebms Fc [13144] | $1,551 | 25% |
| First Choice [13399] | $1,551 | 25% |
| Health Alliance [13233] | $1,551 | 25% |
| Ilwu-Pma [13158] | $1,551 | 25% |
| Loomis Benefits West [13161] | $1,551 | 25% |
| Meritain Health [13229] | $1,551 | 25% |
| Moda Fc [13219] | $1,551 | 25% |
| Myers Stevens & Toohey [13169] | $1,551 | 25% |
| Pacific Underwriters [13175] | $1,551 | 25% |
| Personify Fc [13155] | $1,551 | 25% |
| Providence Health Plan [13181] | $1,551 | 25% |
| Rehn & Associates [13182] | $1,551 | 25% |
| Samaritan Health [12265] | $1,551 | 25% |
| Starmark [13103] | $1,551 | 25% |
| Tongass Timber Trust [13202] | $1,551 | 25% |
| Trusteed Plans [13186] | $1,551 | 25% |
| Trustmark Life Insurance [13203] | $1,551 | 25% |
| Welfare Pension [13120] | $1,551 | 25% |
| Wship [13121] | $1,551 | 25% |
| Zenith American Solutions [13195] | $1,551 | 25% |
| Asuris [11900] | $1,564 | 25% |
| Asuris [11913] | $1,564 | 25% |
| Bridgespan Health Company [11906] | $1,564 | 25% |
| Pb Regence [11908] | $1,564 | 25% |
| Regence [11903] | $1,564 | 25% |
| Regence [11909] | $1,564 | 25% |
| Kaiser [13400] | $1,567 | 25% |
| Kaiser [13401] | $1,567 | 25% |
| Allegiance [12264] | $1,594 | 26% |
| Cigna | $1,594 | 26% |
| Personify [12270] | $1,594 | 26% |
| Providence Health Plan [12289] | $1,594 | 26% |
| Tufts Health Plan [12279] | $1,594 | 26% |
| Aetna | $1,709 | 28% |
| Ameriben [11006] | $1,709 | 28% |
| Christian Brothers [11001] | $1,709 | 28% |
| Coresource [11004] | $1,709 | 28% |
| Ebms [11003] | $1,709 | 28% |
| Meritain [12251] | $1,709 - $2,230 | 28% |
| Moda [11009] | $1,709 | 28% |
| Preferred One [11008] | $1,709 | 28% |
| Web Tpa [11007] | $1,709 | 28% |
| Claritev [12299] | $2,230 | 36% |
| Ebms [12241] | $2,230 | 36% |
| Health Alliance [12266] | $2,230 | 36% |
| Humana | $2,230 | 36% |
| Key Benefit Admin [12276] | $2,230 | 36% |
| Medical Mutual [12233] | $2,230 | 36% |
| Moda [12842] | $2,230 | 36% |
| Nippon Life Insurance [12232] | $2,230 | 36% |
| Pehp [12235] | $2,230 | 36% |
| Preferredone Admin Services [12236] | $2,230 | 36% |
| Select Health [12277] | $2,230 | 36% |