CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Adventist Health St Helena

Billing Code: 47562 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$3,105

about 0.5× the $6,176 Medicare rate · typically $873–$11,973

modeled estimate · not a bill or quote

What this hospital charges insurers

$874

Below the fair price — a good deal

about $2,231 under the fair price · 0.1× Medicare

Medicare pays $6,176 Fair price $3,105 This hospital $874 Cash price $366 Hospital's list price $2,442

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

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

Cheapest $874 Priciest $3,372

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

A fair price for a Gallbladder removal (laparoscopic) is about $3,105 (about 0.5× the $6,176 Medicare rate). Adventist Health St Helena charges insurers about $874, or about $366 in cash — below the fair price — a good deal. Located in Saint Helena, CA.

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✓ Kaiser Permanente Humana

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	$874	14%
Blue Cross Blue Shieldmajor	$674 - $1,799	11%
Aetnamajor	$1,040	17%
Cignamajor	$799	13%
Kaiser Permanentemajor	$674 - $808	11%
+ 3 smaller / regional plans	$741 - $2,076

Government programs also on file: Medicaid, Military & VA.

Excludes 3 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 366), 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 Adventist Health St Helena 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 Adventist Health St Helena

Compare: Gallbladder removal (laparoscopic) at other CA hospitals

Santa Clara Valley Medical Center · San Jose $895
Stanford Health Care · Stanford $970
Fairchild Medical Center · Yreka $1,016
Valley Children's Hospital · Madera $1,056
Children's Hosp of Los Angeles · Los Angeles $1,371
Mercy Medical Center · Merced $1,821
Parkview Community Hospital Medical Center · Riverside $2,935
Resnick Neuropsychiatric Hospital at UCLA · Los Angeles $3,372

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