CMS Price Transparency Data
Gallbladder removal (laparoscopic)
Facility: Whittier Hospital Medical Center
Billing Code: 47562 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 47562
- Insurance Median: $7,651
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Whittier Hospital Medical Center is $7,651. 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 1.24x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$7,651
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: $7,651 (124%)
Ins. Median: $7,651 (124% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Aids Healthcare Foundation | $466 - $7,651 | 8% |
| Allied Physicians | $466 - $11,663 | 8% |
| Alta Med Health Network | $466 - $7,651 | 8% |
| Altamed Health Services Corporation | $466 | 8% |
| Beverly Hospital | $466 - $8,553 | 8% |
| Brand New Day | $466 - $9,564 | 8% |
| Emanate Health | $466 - $9,556 | 8% |
| Health Net | $466 - $7,651 | 8% |
| Healthy Way La | $466 | 8% |
| Heritage Provider Network | $466 - $10,497 | 8% |
| Kaiser Foundation | $466 - $30,000 | 8% |
| La Care Healthy Families/Healthy Kids | $466 | 8% |
| Non Contracted Medi-Cal | $466 | 8% |
| Prospect Health Plan | $466 - $12,441 | 8% |
| Synermed | $466 - $7,776 | 8% |
| La Care Health Plan | $536 - $7,651 | 9% |
| Caloptima | $653 - $7,651 | 11% |
| Monarch Healthplan | $653 | 11% |
| Care First Health Plan | $669 | 11% |
| County Of Los Angeles Dept Of Health Services | $669 | 11% |
| Medi Caid/ Medi Cal | $669 | 11% |
| Applecare Medical Group | $783 | 13% |
| Universal Care | $1,100 - $32,500 | 18% |
| Medicare (plans) | $1,560 - $8,032 | 25% |
| Capnet | $2,000 | 32% |
| Edward Medical Group | $2,000 | 32% |
| Great-West Healthcare Of California | $2,500 | 40% |
| Prohealth | $2,500 | 40% |
| Care 1St Health Plan | $2,600 - $5,500 | 42% |
| UnitedHealthcare | $2,600 - $13,904 | 42% |
| Ahmc Reciprocity Agreement Senior/Commercial | $2,800 | 45% |
| Cost Containment | $2,800 | 45% |
| Pacific Independent Physician Association | $2,800 | 45% |
| Health Net Inc | $3,000 - $19,975 | 49% |
| Ahmc Reciprocity | $3,876 | 63% |
| Molina Medical Center | $3,876 - $9,719 | 63% |
| Alignment Health Plan | $4,435 | 72% |
| Blue Cross Blue Shield | $5,232 - $15,810 | 85% |
| Veterans Administration | $5,443 | 88% |
| Aetna | $6,600 - $11,094 | 107% |
| Avanti | $6,998 - $9,331 | 113% |
| Hollywood Presbyterian Adv Med Mcal | $6,998 | 113% |
| Hollywood Presbyterian Medpoint Mcal | $6,998 | 113% |
| Blue Shield Of California | $7,207 - $8,112 | 117% |
| Alta Los Angeles Hospitals Inc | $7,651 | 124% |
| Apa/Aco Inc | $7,651 | 124% |
| Central Health Plan | $7,651 | 124% |
| Easy Choice Health Plan | $7,651 | 124% |
| Humana | $7,651 | 124% |
| Pacificare Of California | $7,651 | 124% |
| Scan Health Plan | $7,651 | 124% |
| Ahmc Medi-Cal Reciprocity Agreement | $7,776 | 126% |
| Caremore | $7,776 | 126% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $7,776 | 126% |
| La Care Covered Direct | $7,776 | 126% |
| Pacific Alliance Medical Center | $7,776 | 126% |
| Private Pay | $7,776 | 126% |
| Self-Pay | $7,776 | 126% |
| Tricare | $7,776 | 126% |
| Molina Healthcare Of California | $8,034 | 130% |
| San Miguel Health Plan | $8,553 | 138% |
| Chinatown Service Center Pace | $9,331 | 151% |
| Ahmc Health | $9,719 | 157% |
| Knox-Keene Act | $9,719 | 157% |
| Fmc Los Angeles County | $9,824 | 159% |
| Interplan Health Group | $10,031 | 162% |
| Athens Administrators Ahmc Work Comp | $10,341 | 167% |
| Misc 1 | $10,341 | 167% |
| Multiplan Wc | $10,341 | 167% |
| Healthnet | $19,377 - $23,334 | 314% |