CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Black River Memorial Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,834
Cash Discount Price: $5,932
vs. Medicare Baseline: 0.30x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Black River Memorial Hospital is $1,834. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,932. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.30x the Medicare baseline. Located in 711 W Adams St, Black River Falls, WI.

Cash / Self-Pay

$5,932

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,834

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: $5,932 (96%)

Insurance Median: $1,834 (30%)

Cash: $5,932 (96% of Medicare)

Ins. Median: $1,834 (30% 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
Blue Cross Blue Shield	$111 - $1,834	2%
Group Health Cooperative Of Eau Claire	$111 - $6,393	2%
My Choice Wisconsin, Inc.	$111 - $1,834	2%
Quartz Health Solutions, Inc	$111 - $5,998	2%
UnitedHealthcare	$111 - $6,393	2%
Humana	$582 - $6,130	9%
Security Health Plan	$1,834 - $5,520	30%
The Alliance	$1,834 - $5,602	30%
Corvel	$4,021	65%
Multiplan	$5,501 - $6,393	89%
Triology Health Solutions	$5,932 - $6,261	96%
Medica	$6,156	100%
Association Benefits Solution	$6,261	101%
Family Health Center Of Marshfield	$6,261	101%
First Health Group Corporation	$6,261	101%
Provider Network Of America	$6,261	101%
Cigna	$6,393	104%
Cofinity	$6,393	104%
Coventry Health Care	$6,393	104%
Custom Benefit Administrators	$6,393	104%
Healthpartners, Inc.	$6,393	104%
Wisconsin Physicians Service Insurance Corp	$6,393	104%
Chorus	$6,459	105%

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 $5,932.
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 Black River Memorial 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.