CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Mon Health Medical Center

Billing Code: 47562 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$2,308

about 0.4× the $6,176 Medicare rate · typically $434–$4,282

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,208

Below the fair price — a good deal

about $1,100 under the fair price · 0.2× Medicare

Medicare pays $6,176 Fair price $2,308 This hospital $1,208 Cash price $717 Hospital's list price $1,435

How we calculate the fair BaseRate →

How this hospital compares to other WV hospitals

Lowest price of the 9 WV hospitals we have prices for — a strong deal.

Cheapest $1,208 Priciest $15,368

Black dot = this hospital, among the 9 WV hospitals with a price for this procedure. Full list below.

A fair price for a Gallbladder removal (laparoscopic) is about $2,308 (about 0.4× the $6,176 Medicare rate). Mon Health Medical Center charges insurers about $1,208, or about $717 in cash — below the fair price — a good deal. Located in Morgantown, WV.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$644 - $5,848	10%
Blue Cross Blue Shieldmajor	$644 - $26,801	10%
Aetnamajor	$644 - $5,848	10%
Cignamajor	$1,291	21%
Humanamajor	$1,024 - $5,848	17%
GEHA	$574 - $1,391	9%
Paramount	$644 - $5,848	10%
UPMC Health Plan	$844 - $1,391	14%
+ 13 smaller / regional plans	$532 - $11,696

Government programs also on file: Medicare.

Excludes 6 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 717), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 47562.

Insurance Before you use insurance

Call your insurance company to confirm Mon Health Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 47562.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Mon Health Medical Center

Compare: Gallbladder removal (laparoscopic) at other WV hospitals

Berkeley Medical Center · Martinsburg $3,160
Reynolds Memorial Hospital, Inc · Glen Dale $3,273
Boone Memorial Hospital · Madison $4,218
Weirton Medical Center, Inc · Weirton $5,771
Wheeling Hospital, Inc · Wheeling $5,819
Camden Clark Medical Center · Parkersburg $5,944
Princeton Community Hospital Assn Inc · Princeton $6,181
Logan Regional Medical Center · Logan $15,368

Insurance negotiated median for the same procedure, sorted lowest first.