CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Mon Health Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $1,291
  • Cash Discount Price: $717
  • vs. Medicare Baseline: 0.21x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Mon Health Medical Center is $1,291. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $717. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.21x the Medicare baseline. Located in 1200 Jd Anderson Drive, Morgantown, WV.
Cash / Self-Pay
$717

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,291

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: $717 (12%)
Insurance Median: $1,291 (21%)
Cash: $717 (12% of Medicare)
Ins. Median: $1,291 (21% 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
Maryland_Physicians_Care_Plan $532 - $1,004 9%
Geha_Plan $574 - $1,391 9%
Gateway_Health_Plan $589 10%
Unison_Plan $589 10%
Aetna $644 - $5,848 10%
Blue Cross Blue Shield $644 - $26,801 10%
Medicare (plans) $644 - $5,848 10%
Paramount_Elite_Plan $644 - $5,848 10%
Uhc_Onenet_Ppo_Plan $644 - $1,391 10%
Uhc_Options_Ppo_Plan $644 - $1,334 10%
Uhc_Plan $644 - $1,291 10%
Umwa_Plan $644 10%
Health_South_Mountain_View_Plan $655 - $5,848 11%
Upmc__Plan $844 - $1,391 14%
The_Health_Plan_Peia_Plan $867 - $4,997 14%
Humana $1,024 - $5,848 17%
The_Health_Plan_Murray_Energy_Commercial_Aso_Plan $1,148 - $1,208 19%
The_Health_Plan_Plan $1,234 20%
Seven_Corners_Plan $1,288 - $11,696 21%
Acpn_Plan $1,291 21%
Cigna $1,291 21%
Mon_County_Commission_Plan $1,291 21%
Health_Payors_Organization_Plan $1,320 21%
Multiplan_Phcs_Plan $1,363 22%
Mutual_Of_Omaha_Plan $1,363 22%
Three_Rivers_Plan $1,391 23%
Zelis_Group_Health_Plan $1,516 - $5,848 25%
Zelis_Other_Plan $1,516 - $4,971 25%
Uhc_Va_Plan $5,848 95%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1200 Jd Anderson Drive, Morgantown, WV 26505
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals