CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: John Muir Medical Center - Concord Campus

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $8,537
  • Cash Discount Price: $84,572
  • vs. Medicare Baseline: 1.38x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at John Muir Medical Center - Concord Campus is $8,537. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $84,572. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.38x the Medicare baseline. Located in 2540 East St, Concord, CA.
Cash / Self-Pay
$84,572

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,537

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: $84,572 (1369%)
Insurance Median: $8,537 (138%)
Cash: $84,572 (1369% of Medicare)
Ins. Median: $8,537 (138% 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
Contra Costa County Jail [1012104] $466 8%
Jmpn Canopy Hn [1640000011] $856 14%
UnitedHealthcare $856 - $53,372 14%
Donor Network West [1008103] $4,000 - $8,000 65%
Tricare $7,712 125%
Health Net-Network Mcare [1028127] $8,366 135%
Aetna $8,537 - $15,640 138%
Alignment Health [1177113] $8,537 138%
Blue Cross Blue Shield $8,537 - $63,311 138%
Blue Shield-Network Mcare [1006127] $8,537 138%
Care 1St Health Plan [1094113] $8,537 138%
Caremore [1171113] $8,537 138%
Covid19 Hrsa Uninsured Testing And Treatment Fund [1179012] $8,537 138%
Easy Choice Health Plan [1083113] $8,537 138%
Essence Healthcare [1049028] $8,537 138%
Essence Healthcare [1049128] $8,537 138%
Golden State-Network Mcare [1023127] $8,537 138%
Hospice Of East Bay [1085104] $8,537 138%
Humana $8,537 138%
Medicare (plans) $8,537 138%
Scan-Network Mcare [1043127] $8,537 138%
Veterans Administration [1051113] $8,537 138%
Workers' Comp [1024005] $9,068 147%
Generic Commercial/Indemnity [1017001] $10,671 173%
Generic Hmo [1018103] $10,671 173%
Generic Ppo [1021104] $10,671 173%
Canopy Hn Hmo [1166103] $15,622 253%
Cigna $21,047 - $27,361 341%
Blue Shield Hmo [1006103] $24,064 - $25,818 390%
Blue Shield-Network [1006026] $24,064 - $25,818 390%
Blue Shield Ppo [1006104] $26,165 - $33,780 424%
United Behavioral Health [1048103] $53,372 864%
Brms [1091104] $63,311 1025%
Delta Health Systems [1032104] $63,311 1025%
Empire Plan [1092104] $63,311 1025%
Healthcomp [1089104] $63,311 1025%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2540 East St, Concord, CA 94520
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals