CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Saint Francis Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

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

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Saint Francis Medical Center is $7,737. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,737. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.25x the Medicare baseline. Located in 3630 East Imperial Highway, Lynwood, CA.

Cash / Self-Pay

$7,737

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: $7,737 (125%)

Insurance Median: $7,737 (125%)

Cash: $7,737 (125% 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
Aids Healthcare Foundation	$669 - $7,892	11%
Avanti Hospitals, Llc	$669 - $7,737	11%
Health Net Of Ca	$669 - $10,059	11%
Heritage Provider Network	$669	11%
Kaiser Hospital Foundation	$669 - $7,737	11%
La Care Health Plan	$669 - $9,285	11%
Molina	$669 - $7,737	11%
Traditional Medi-Cal	$669	11%
Blue Shield Of Promise	$702 - $7,737	11%
Blue Cross Blue Shield	$735	12%
Alignment	$7,737	125%
Altamed	$7,737	125%
Blue Shield Of Ca, Va	$7,737	125%
Elite Health Plan	$7,737	125%
Medicare (plans)	$7,737	125%
Renal Payer Solutions	$7,737	125%
Tricare	$7,737	125%
UnitedHealthcare	$7,737	125%
Welbe Health Pace	$7,737	125%
Brand New Day	$7,815 - $11,606	127%
Imperial Health Plan Of Ca	$8,202	133%
Coventry Healthcare Wc, Inc.	$9,887	160%
Multiplan	$9,887	160%
Worker Comp	$10,193	165%
Aetna	$11,606	188%

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 $7,737.
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 Saint Francis Medical Center 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.