CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Saint John's Health Center

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$9,154

about 1.5× the $6,176 Medicare rate · typically $7,714–$12,055

modeled estimate · not a bill or quote

What this hospital charges insurers

$12,111

Above the fair price

about $2,957 over the fair price · 2.0× Medicare

Medicare pays $6,176 Fair price $9,154 This hospital $12,111

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $874 Priciest $12,111

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Gallbladder removal (laparoscopic) is about $9,154 (about 1.5× the $6,176 Medicare rate). Saint John's Health Center charges insurers about $12,111 — above the fair price. Located in Santa Monica, CA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $9,154. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$13,460 - $15,269	218%
Blue Cross Blue Shieldmajor	$3,409 - $15,227	55%
Aetnamajor	$7,776	126%
Cignamajor	$16,213	262%
Humanamajor	$7,931	128%
Health Net	$12,111 - $19,534	196%
+ 2 smaller / regional plans	$8,553 - $10,108

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price, before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 47562.

Insurance Before you use insurance

Call your insurance company to confirm Saint John's Health Center is in-network.
Ask your insurer whether prior approval is required for CPT code 47562.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Saint John's Health Center

Compare: Gallbladder removal (laparoscopic) at other CA hospitals

Adventist Health St Helena · Saint Helena $874
Santa Clara Valley Medical Center · San Jose $895
Stanford Health Care · Stanford $970
Fairchild Medical Center · Yreka $1,016
Valley Children's Hospital · Madera $1,056
Children's Hosp of Los Angeles · Los Angeles $1,371
Mercy Medical Center · Merced $1,821
Parkview Community Hospital Medical Center · Riverside $2,935

Insurance negotiated median for the same procedure, sorted lowest first.