CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Menifee Global Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $7,737
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.25x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Menifee Global Medical Center is $7,737. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.25x the Medicare baseline. Located in 28400 McCall Boulevard, Sun City, CA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,737

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%)
Insurance Median: $7,737 (125%)
Ins. Median: $7,737 (125% 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
Tricare $548 - $7,465 9%
Health Net Enhanced Ppo $902 - $10,832 15%
Choice Physicians Network $5,200 84%
Molina Covered Ca $7,370 119%
Aetna $7,737 125%
Altamed Comm Hmo (Ancillary) $7,737 125%
Altamed Health Services Senior $7,737 125%
Altamed Sr/Pace $7,737 125%
Blue Shield Senior $7,737 125%
Central Health Plan Senior $7,737 125%
Clever Care Health Plan Sr $7,737 125%
For Your Benefit Senior $7,737 125%
Guidant Health Plan Senior $7,737 125%
Health Net Senior $7,737 125%
Hpn Senior $7,737 125%
Humana $7,737 125%
Ic $7,737 125%
Kaiser Senior $7,737 125%
Lasalle Medical Assoc (Ancillary) Senior $7,737 125%
Managed Health Network Sr $7,737 125%
Medicare (plans) $7,737 125%
Neighborhood Healthcare Pace $7,737 125%
Primecare Senior $7,737 125%
Prospect Health Plan Sr Hmo $7,737 125%
Scan Senior $7,737 125%
Sr Capitation $7,737 125%
UnitedHealthcare $7,737 - $8,060 125%
Veterans Administration $7,737 125%
Imperial Health Plan Of Ca $7,776 126%
Lasalle Medical Assoc (Ancillary) Commercial $7,776 126%
Point Comfort Underwriters $7,776 126%
Self Pay/Ab774/Charity Discount $7,776 126%
Align Senior Care $8,666 140%
Welbehealth Sr/Pace $8,666 140%
Prime Health Services Senior $8,898 144%
Coventry $9,307 - $9,669 151%
Prime Health Services Wcomp $9,307 151%
Iehp Covered Ca $9,672 157%
Three Rivers Wcomp $10,135 164%
Workers Comp Non-Contracted $10,341 167%
Prospect Health Plan Comm Hmo $10,446 169%
Hpn Commercial/Covered Ca $10,832 175%
Health Net Comm $11,606 188%
Three Rivers Network $13,607 220%
Velocity $13,607 220%
Health Net Medi-Cal $14,700 238%
Altamed Mcal Hmo $15,000 243%
Altamed Mcal/Pace $15,000 243%
Molina Medi-Cal $15,000 243%
Cigna $15,775 255%
Blue Shield Epn $21,742 352%
Blue Shield Commercial $25,611 415%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 28400 McCall Boulevard, Sun City, CA 92585
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals