CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Unitypoint Health - Meriter

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,651
  • Cash Discount Price: $19,656
  • vs. Medicare Baseline: 0.91x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Unitypoint Health - Meriter is $5,651. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,656. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.91x the Medicare baseline. Located in 202 S Park St, Madison, WI.
Cash / Self-Pay
$19,656

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,651

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: $19,656 (318%)
Insurance Median: $5,651 (91%)
Cash: $19,656 (318% of Medicare)
Ins. Median: $5,651 (91% 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
Aspirus $582 - $14,742 9%
Blue Cross Blue Shield $582 - $23,341 9%
Illinicare $582 - $5,636 9%
Prevea 360 $582 - $20,884 9%
UnitedHealthcare $582 - $7,984 9%
Humana $612 - $5,636 10%
Meridiancare $612 - $5,636 10%
Health Partners Open Network $1,252 - $8,968 20%
Cigna $1,914 - $7,371 31%
Medical Associates Health Plan $1,934 - $8,845 31%
Wellmark Uph Self-Funded $1,945 - $17,482 31%
Security Health Plan $2,051 - $7,617 33%
Mercy Care $2,393 - $8,157 39%
Quartz $7,666 124%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 202 S Park St, Madison, WI 53715
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals