CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Oroville Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $2,388
Cash Discount Price: $1,365
vs. Medicare Baseline: 0.39x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Oroville Hospital is $2,388. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,365. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.39x the Medicare baseline. Located in 2767 Olive Highway, Oroville, CA.

Cash / Self-Pay

$1,365

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,388

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: $1,365 (22%)

Insurance Median: $2,388 (39%)

Cash: $1,365 (22% of Medicare)

Ins. Median: $2,388 (39% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Blue Cross Blue Shield	$737 - $3,002	12%
Butte County	$950	15%
Cigna	$2,183	35%
Coventry Health Care	$2,183	35%
Health Net	$2,183	35%
Multiplan	$2,183	35%
Interplan	$2,320	38%
Three Rivers Provider Network	$2,320	38%
UnitedHealthcare	$2,320 - $5,498	38%
Beech Street	$2,456	40%
Healthstar	$2,456	40%
Health Payors Organization	$2,593	42%
Blue Shield Of California	$2,647	43%
Aetna	$5,498	89%
Community Care	$5,498	89%
Nivano Physicians Inc	$5,498	89%
River City Medical Group	$6,047	98%
Blue Shield Value Network	$6,377	103%
Partnership Healthplan Of California	$9,071	147%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,365.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 47562.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Oroville Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 47562.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.