CMS Price Transparency Data
Gallbladder removal (laparoscopic)
Facility: Scripps Memorial Hospital La Jolla
Billing Code: 47562 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 47562
- Insurance Median: $8,458
- Cash Discount Price: $12,439
- vs. Medicare Baseline: 1.37x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Scripps Memorial Hospital La Jolla is $8,458. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,439. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.37x the Medicare baseline. Located in 9888 Genesee Avenue, La Jolla, CA.
Cash / Self-Pay
$12,439
Average discount available for prompt cash payment at this facility.
Insurance Median
$8,458
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: $12,439 (201%)
Insurance Median: $8,458 (137%)
Cash: $12,439 (201% of Medicare)
Ins. Median: $8,458 (137% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aetna | $641 - $10,050 | 10% |
| UnitedHealthcare | $641 - $8,458 | 10% |
| Radys Cpmg [803] | $3,980 | 64% |
| Blue Cross Blue Shield | $7,463 - $9,453 | 121% |
| Cigna | $7,463 - $8,359 | 121% |
| Mc Alignment [917] | $7,463 | 121% |
| Mc Blue Shield Promise Health Plan [914] | $7,463 | 121% |
| Mc Blue Shield [902] | $7,463 | 121% |
| Mc Health Net [904] | $7,463 | 121% |
| Mc Scan [905] | $7,463 | 121% |
| Mc United [906] | $7,463 | 121% |
| Astiva Mcr Adv [464] | $7,776 | 126% |
| Bc Mcr Adv [830] | $7,776 | 126% |
| Bs Mcr Adv [829] | $7,776 | 126% |
| Central Health Mcr Adv [441] | $7,776 | 126% |
| Clever Care Mcr Adv [465] | $7,776 | 126% |
| D-Snp Mcr Adv [889] | $7,776 | 126% |
| Dsnp/Csnp - Generic [458] | $7,776 | 126% |
| Family Health Centers Pace Mcr Adv Hmo [556] | $7,776 | 126% |
| Family Health Centers Pace Medi-Cal [555] | $7,776 | 126% |
| Gary And Mary West Pace Medi-Cal Hmo [557] | $7,776 | 126% |
| Gpmg/Altura - Mcr Adv [888] | $7,776 | 126% |
| Hn Mcr Adv [832] | $7,776 | 126% |
| Humana | $7,776 | 126% |
| Integrated Health Partners - Mcr Adv [895] | $7,776 | 126% |
| Kaiser Northern Ca Region Mcr Adv [386] | $7,776 | 126% |
| La Care Mcr Adv Hmo [612] | $7,776 | 126% |
| Medicare (plans) | $7,776 | 126% |
| San Diego Pace Medi-Cal [553] | $7,776 | 126% |
| Scan Mcr Adv [835] | $7,776 | 126% |
| Scan [500] | $7,776 | 126% |
| Scan [818] | $7,776 | 126% |
| Sharp Comm Med Grp Mcr Adv [840] | $7,776 | 126% |
| Sharp Health Plan Mcr Adv [531] | $7,776 | 126% |
| Sharp Health Plan Mcr Adv [897] | $7,776 | 126% |
| Sharp Rees Stealy Med Grp Mcr Adv [841] | $7,776 | 126% |
| St Paul'S Pace Medi-Cal [551] | $7,776 | 126% |
| Ucsd Mcr Adv [873] | $7,776 | 126% |
| Uh Mcr Adv [831] | $7,776 | 126% |
| Uh Palomar Health Mcr Adv [885] | $7,776 | 126% |
| Alignment Health Plan [443] | $8,009 | 130% |
| Sharp Comm Med Grp [812] | $8,359 - $10,050 | 135% |
| Sharp Rees Stealy Med Grp [811] | $8,359 - $10,050 | 135% |
| Ucsd [807] | $8,359 - $10,050 | 135% |
| Uh [819] | $8,458 | 137% |
| Bc [814] | $8,608 | 139% |
| Imperial County Phys Med Group [855] | $8,608 - $8,956 | 139% |
| Integrated Health Partners [894] | $8,608 | 139% |
| Perlman Med Group [899] | $8,608 | 139% |
| Blue Shield [230] | $8,657 - $9,354 | 140% |
| Health Net [340] | $8,856 - $19,439 | 143% |
| Hn [815] | $8,856 | 143% |
| Bs [816] | $8,956 - $9,354 | 145% |
| Centivo [581] | $8,956 | 145% |
| Palomar Health [892] | $10,050 | 163% |
| Veba Med Grp [813] | $10,050 | 163% |
| Prime Healthcare [614] | $13,218 | 214% |
| Prospect Med Group [893] | $13,607 | 220% |
| Kaiser Northern Ca Region Hmo/Ppo [384] | $18,956 | 307% |
| Kaiser [380] | $18,956 | 307% |
| Kaiser [383] | $18,956 | 307% |
| Rady Children'S Hospital [825] | $20,399 | 330% |
| Multi Plan Network [470] | $35,326 | 572% |
| First Health Network [330] | $37,316 | 604% |
| Pnoa [615] | $37,316 | 604% |
| Choice Care Network [270] | $39,804 | 644% |
| Healthsmart [350] | $39,804 | 644% |