CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Riverside University Health System-Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $9,703
  • Cash Discount Price: $12,938
  • vs. Medicare Baseline: 1.57x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Riverside University Health System-Medical Center is $9,703. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,938. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.57x the Medicare baseline. Located in 26520 Cactus Avenue, Moreno Valley, CA.
Cash / Self-Pay
$12,938

Average discount available for prompt cash payment at this facility.

Insurance Median
$9,703

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: $12,938 (209%)
Insurance Median: $9,703 (157%)
Cash: $12,938 (209% of Medicare)
Ins. Median: $9,703 (157% 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
Inland Empire Health Plan Mcal Hmo $466 - $12,938 8%
La Care Health Plan $466 - $12,938 8%
Medi-Cal $466 - $12,938 8%
Medical Groups Commercial Contracted $579 - $12,938 9%
Inland Empire Health Plan $7,413 - $12,938 120%
Medicare (plans) $7,413 - $12,938 120%
Molina $7,413 - $12,938 120%
Blue Cross Blue Shield $7,932 - $12,938 128%
Kaiser $9,703 157%
California Department Of Corrections $12,232 - $12,938 198%
Workers Comp $12,938 209%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 26520 Cactus Avenue, Moreno Valley, CA 92555
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals