CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Adventist Health Lodi Memorial

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $616
  • Cash Discount Price: $25
  • vs. Medicare Baseline: 0.10x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Adventist Health Lodi Memorial is $616. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $25. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.10x the Medicare baseline. Located in 975 S Fairmont Avenue, Lodi, CA.
Cash / Self-Pay
$25

Average discount available for prompt cash payment at this facility.

Insurance Median
$616

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: $25 (0%)
Insurance Median: $616 (10%)
Cash: $25 (0% of Medicare)
Ins. Median: $616 (10% 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
Bc Mcal $303 - $466 5%
Celtic Ins Company - All Plans $303 - $466 5%
Healthnet Mcal $303 - $559 5%
Hp Mcal Pro Fee $303 - $513 5%
Hp Of San Joaquin Mcal $303 - $559 5%
Kaiser Mcal $303 - $466 5%
Medi-Cal $303 - $466 5%
Alignment Health Plan (Ahp)-All Plans $616 10%
Blue Shield Mcare Adv $616 10%
Healthnet Mcare $616 10%
Hp Of San Joaquin Mcr Adv $616 10%
Humana $616 10%
Knnex Health - All Plans $616 10%
Tricare $616 10%
UnitedHealthcare $616 - $874 10%
Hp Healthy Kids Pro Fee $647 10%
Ah Employee Health Plan - All Plans $677 11%
First Health- All Plans $739 12%
Cigna $742 12%
Beech Street- All Plans $800 13%
Hp Of San Joaquin Ppo - All Other Plans $800 13%
Multiplan- All Plans $800 13%
Kaiser Commercial - All Other Plans $831 13%
Kaiser Mcr Adv $831 13%
Networks By Design- All Plans $831 13%
Western Growers- All Plans $880 14%
Healthnet- All Other Plans $897 15%
Aetna $912 15%
Blue Shield Epn - All Other Plans $999 16%
Blue Shield Non-Epn $1,056 17%
Blue Cross Blue Shield $1,476 24%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 975 S Fairmont Avenue, Lodi, CA 95240
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals