CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Marinhealth Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $29,587
Cash Discount Price: $33,150
vs. Medicare Baseline: 4.79x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Marinhealth Medical Center is $29,587. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $33,150. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 4.79x the Medicare baseline. Located in 250 Bon Air Road, Greenbrae, CA.

Cash / Self-Pay

$33,150

Average discount available for prompt cash payment at this facility.

Insurance Median

$29,587

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: $33,150 (537%)

Insurance Median: $29,587 (479%)

Cash: $33,150 (537% of Medicare)

Ins. Median: $29,587 (479% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 479% of the Medicare baseline (a markup of 379%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
UnitedHealthcare	$2,330	38%
Aetna	$8,533 - $25,868	138%
Brown And Tolan	$8,533	138%
Healthnet Tailored Network	$8,533	138%
Kaiser	$8,533	138%
Marin Cancer Care	$8,533	138%
Ca Prison Health Care Services	$13,653	221%
Healthnet Enhancedcare	$22,186	359%
Blue Cross Blue Shield	$23,401 - $29,587	379%
Provider Network Of America	$40,531	656%
Canopy	$49,064	794%
Canopy Hill Physicians	$49,064	794%
Blue Shield Cpic/Epo	$50,609	819%
Providers Network Of America	$53,757	870%
Blue Shield Hmo/Ppo	$56,232	910%
Hills Blue Shield Hmo/Ppo	$56,232	910%
Healthnet Hmo/Ppo	$56,914	921%
Healthnet Hmo/Ppo Hill Physicians	$56,914	921%
Blue Shield Aco	$58,288	944%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $33,150.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 47562.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Marinhealth Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 47562.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.