CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Adventist Health Bakersfield

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $685
Cash Discount Price: $54
vs. Medicare Baseline: 0.11x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Adventist Health Bakersfield is $685. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $54. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.11x the Medicare baseline. Located in 2615 Chester Avenue, Bakersfield, CA.

Cash / Self-Pay

$54

Average discount available for prompt cash payment at this facility.

Insurance Median

$685

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: $54 (1%)

Insurance Median: $685 (11%)

Cash: $54 (1% of Medicare)

Ins. Median: $685 (11% 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.

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
Bc Medi-Cal	$130	2%
Medi-Cal	$130	2%
Universal Hc Mcal Profee Only	$130	2%
Kern Health Systems Mcal	$183	3%
Blue Shield Mcr Adv	$623	10%
Fhcn Pace Mcr Adv - All Plans	$623	10%
Gem Care- All Plans	$623	10%
Healthnet Mcr Adv	$623	10%
Kern Legacy Share Select	$623	10%
Oscar - All Plans	$623	10%
Premier Physician Alliance Profee Only-All Plans	$623	10%
UnitedHealthcare	$623 - $874	10%
Aetna	$672	11%
County Of Kern - All Plans	$685	11%
Employee Health Plan - All Plans	$685	11%
Kern Legacy Hp Epo - All Other Plans	$685	11%
Network Provdrs Llc Mcare -All Payers	$810	13%
Cigna	$819	13%
Western Growers/Pinnacle- All Plans	$866	14%
Healthnet Hmo/Pos/Ppo/Epo - All Other Plans	$908	15%
Centivo - All Plans	$934	15%
Blue Shield Epn	$999	16%
Blue Shield Epo/Ppo	$1,056	17%
Blue Shield Hmo/Pos - All Other Plans	$1,056	17%
Blue Cross Blue Shield	$1,476	24%
Universal Health Plan Mcare-All Other Plans	$7,776	126%

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 $54.
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 Adventist Health Bakersfield 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.