CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Alhambra Hospital Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $7,776
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.26x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Alhambra Hospital Medical Center is $7,776. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.26x the Medicare baseline. Located in 100 S Raymond Ave, Alhambra, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,776

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%)
Insurance Median: $7,776 (126%)
Ins. Median: $7,776 (126% 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.

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
Citrus Valley Health Partners $466 8%
La Care Pasc Seiu Misc $466 8%
La Care Medi-Cal Hmo $536 9%
Allied Physicians Of Ca Medi-Cal $669 11%
Health Net Medi-Cal $669 11%
Kaiser Medi-Cal $669 11%
Medi-Cal $669 11%
Miscellaneous Medi-Cal Hmo $669 11%
Blue Cross Blue Shield $776 - $11,436 13%
Central Health Plan Of Ca Senior Hmo $2,389 39%
Allied Physicians Medi-Cal $3,500 57%
Ahmc-Reciprocity-Comm/Senior $3,876 63%
Allied Physicians Comm/Sr $4,000 65%
Wellcare Allied Senior Hmo $4,000 65%
Molina Health Plan $4,059 66%
Stewart Mg Senior Hmo $4,400 71%
Blue Shield 65 Plus $7,345 119%
Blue Shield Value Network Exchange $7,413 120%
Apa Aco $7,536 122%
Altamed Senior Services $7,651 124%
Brand New Day Sr $7,651 124%
Health Net Senior Hmo $7,651 124%
Medicare (plans) $7,651 - $8,164 124%
Aetna $7,776 - $7,802 126%
Ahmc-Reciprocity-Medi-Cal/Healthy Families $7,776 126%
Humana $7,776 126%
La Care Exchange $7,776 126%
Miscellaneous Senior Hmo $7,776 126%
Tricare $7,776 126%
UnitedHealthcare $7,776 - $18,352 126%
Wellcare Senior Hmo $7,776 126%
Alignment Senior Hmo $8,034 130%
Blue Shield Hmo/Ppo $8,264 134%
Health Net Salud Con Hmo $9,455 153%
Molina Exchange $9,564 155%
Health Net Exchange $9,587 155%
Miscellaneous Work Comp Hmo $10,341 167%
Ahmc Health $11,477 186%
Allied Physicians Of Ca Commercial $11,663 189%
Health Net Ppo/Epo/Pos $16,212 262%
Health Net Exchange Enhanced Ppo $19,213 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 100 S Raymond Ave, Alhambra, CA 91801
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals