CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Watsonville Community Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $669
Cash Discount Price: $4,309
vs. Medicare Baseline: 0.11x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Watsonville Community Hospital is $669. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,309. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.11x the Medicare baseline. Located in 75 Nielson Street, Watsonville, CA.

Cash / Self-Pay

$4,309

Average discount available for prompt cash payment at this facility.

Insurance Median

$669

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: $4,309 (70%)

Insurance Median: $669 (11%)

Cash: $4,309 (70% of Medicare)

Ins. Median: $669 (11% 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
California Childrens Srvs	$588 - $669	10%
Ccs/Monterey County	$588 - $669	10%
Healthy Families	$588 - $669	10%
Medi-Cal E.R.	$588 - $669	10%
Medi-Cal/Eds	$588 - $669	10%
Medicaid / KanCare	$588 - $669	10%
Well Path	$588 - $669	10%
Alliance/Sccho	$862 - $1,146	14%
Aetna	$8,858	143%
Blue Cross Blue Shield	$17,492	283%
Calif Ironworkers Field	$17,492	283%
Carpenters H&W Trust	$17,492	283%
City Of Wats/Pinnacle Clm	$17,492	283%
Claims Management Wc	$17,492	283%
Delta Health Systems	$17,492	283%
Laborers Health & Welfare	$17,492	283%
Monterey Bay Pub Emp Trst	$17,492	283%
Operating Engineers	$17,492	283%
Pinnacle Claims Tpa/Bc	$17,492	283%
Robert Kennedy/Ccn	$17,492	283%
Sheet Metal Workers	$17,492	283%
State Compensation Fund	$17,492	283%
Teamsters Benefit Trust	$17,492	283%
Western Growers Trust/Bc	$17,492	283%

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 $4,309.
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 Watsonville Community 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.