CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Weirton Medical Center, Inc

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,771
  • Cash Discount Price: $13,619
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Weirton Medical Center, Inc is $5,771. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,619. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.93x the Medicare baseline. Located in 601 Colliers Way, Weirton, WV.
Cash / Self-Pay
$13,619

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,771

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: $13,619 (220%)
Insurance Median: $5,771 (93%)
Cash: $13,619 (220% of Medicare)
Ins. Median: $5,771 (93% 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
Highmark Health Options West Va $206 3%
Wellpoint West Virginia $206 3%
The Health Plan Wv $209 3%
Aetna $210 - $6,059 3%
Medicaid / KanCare $776 13%
Pennsylvania Health & Wellness $776 13%
Blue Cross Blue Shield $5,771 - $5,944 93%
Buckeye Commercial $5,771 93%
Medicare (plans) $5,771 - $6,232 93%
Humana $6,059 98%
UnitedHealthcare $6,290 102%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 601 Colliers Way, Weirton, WV 26062
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals