CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Charleston Area Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $783
  • Cash Discount Price: $19,625
  • vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Charleston Area Medical Center is $783. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,625. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.13x the Medicare baseline. Located in 501 Morris Street, Charleston, WV.
Cash / Self-Pay
$19,625

Average discount available for prompt cash payment at this facility.

Insurance Median
$783

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: $19,625 (318%)
Insurance Median: $783 (13%)
Cash: $19,625 (318% of Medicare)
Ins. Median: $783 (13% 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
Aetna $514 - $668 8%
The Health Plan Of West Virginia Inc. $514 - $1,030 8%
Unicare Health Plan Of West Virginia Inc. $514 8%
Triwest Va $624 10%
Blue Cross Blue Shield $643 - $1,062 10%
Choicecare Network $643 - $783 10%
Optimum Choice Inc. $643 10%
UnitedHealthcare $643 - $663 10%
West Virginia Senior Advantage Inc. $676 11%
City Of Charleston $837 14%
Naphcare $882 14%
Integrated Medical Solutions $933 15%
Caresource $965 16%
Tricare $1,105 18%
Three Rivers Providers Network $1,786 29%
Healthsmart $1,804 29%
Multiplan $1,804 29%
Cigna $1,823 30%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 501 Morris Street, Charleston, WV 25301
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals