CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: San Gorgonio Memorial Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $7,737
Cash Discount Price: $2,638
vs. Medicare Baseline: 1.25x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at San Gorgonio Memorial Hospital is $7,737. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,638. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.25x the Medicare baseline. Located in 600 North Highland Springs Avenue, Banning, CA.

Cash / Self-Pay

$2,638

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,737

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: $2,638 (43%)

Insurance Median: $7,737 (125%)

Cash: $2,638 (43% of Medicare)

Ins. Median: $7,737 (125% 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	$4,294 - $7,737	70%
Lasalle Medical Associates	$7,351	119%
Beaver Medical Group	$7,737	125%
Blue Shield	$7,737	125%
Choice Physicians Network	$7,737	125%
Heritage Provider Network	$7,737	125%
Inland Empire Health Plan	$7,737 - $8,511	125%
Kaiser	$7,737 - $23,212	125%
Providence Health Network	$7,737	125%
Redlands Community Hospital	$7,737 - $9,285	125%
UnitedHealthcare	$7,737	125%
Easy Choice Health Plan	$8,124	132%
Epic Management	$8,124	132%
Velocity	$8,511	138%
Imperial Health Plan	$8,743	142%
Health Net	$9,888 - $11,080	160%

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 $2,638.
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 San Gorgonio Memorial 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.