CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Adventist Health Sonora

Billing Code: 47562 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$1,213

about 0.2× the $6,176 Medicare rate · typically $528–$5,627

modeled estimate · not a bill or quote

Medicare pays $6,176 Fair price $1,213 Cash price $61 Hospital's list price $357

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$261 - $1,923	4%
Blue Cross Blue Shieldmajor	$616 - $1,056	10%
Aetnamajor	$1,157	19%
Cignamajor	$757	12%
Health Net	$93 - $897	2%
+ 11 smaller / regional plans	$93 - $1,516

Government programs also on file: Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 61), 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 Adventist Health Sonora 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 Adventist Health Sonora

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.