CMS Price Transparency Data
Gallbladder removal (laparoscopic)
Facility: Monterey Park Hospital
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 Monterey Park Hospital 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 900 S Atlantic Blvd, Monterey Park, 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 |
|---|---|---|
| Access Ipa Ancillary | $466 - $683 | 8% |
| Accountable Ipa | $466 | 8% |
| Allied Physicians | $466 - $11,663 | 8% |
| Alta Med Health Services Corp | $466 - $12,500 | 8% |
| Altamed Health Network | $466 - $7,651 | 8% |
| Applecare Medical Group | $466 - $6,220 | 8% |
| Assess Ipa | $466 | 8% |
| Associated Hispanic Physicians Ancillary | $466 - $531 | 8% |
| Beverly Hospital | $466 - $8,553 | 8% |
| Blue Cross Blue Shield | $466 - $14,719 | 8% |
| Brand New Day | $466 - $9,719 | 8% |
| Care 1St Mcl/Gar Cap | $466 | 8% |
| Community Health Plan | $466 | 8% |
| Esperanza Medical Group Ipa | $466 - $2,300 | 8% |
| Family Health Alliance Medical Group | $466 - $2,300 | 8% |
| Health Net Medi Cal | $466 | 8% |
| Healthnet Inc | $466 | 8% |
| Healthy Way La | $466 | 8% |
| La Care | $466 - $7,776 | 8% |
| La Care Health Plan | $466 - $536 | 8% |
| Medical Managed Care Program | $466 | 8% |
| Molina Healthcare | $466 | 8% |
| Other Non-Contracted Medi-Cal | $466 | 8% |
| Preferred Ipa | $466 - $9,719 | 8% |
| Preferred Ipa Of California | $466 | 8% |
| Alhambra Community Dialysis Unit Inc | $602 | 10% |
| Aids Health Foundation | $669 - $7,651 | 11% |
| Bella Vista Medical Group Ancillary | $669 | 11% |
| Central Health Plan | $669 | 11% |
| Emanate Health | $669 - $9,719 | 11% |
| Maxi Med Inc/Ipa | $669 - $7,776 | 11% |
| Medi Cal | $669 | 11% |
| Pacific Independent Physician Association | $669 - $2,800 | 11% |
| Caloptima Direct | $983 | 16% |
| Central Health Plan Of California | $1,020 | 17% |
| Universal Care | $1,250 | 20% |
| Bella Vista Medical Group | $1,750 - $6,220 | 28% |
| Community Health Plan M Cal Joy Ipa | $1,750 | 28% |
| Tenet Reciprocity | $2,000 | 32% |
| Blue Shield Of California | $2,403 - $8,264 | 39% |
| Asi Flex Ppo W/C | $2,500 | 40% |
| Garfield Medical Center | $2,520 | 41% |
| Ahmc Reciprocity Agreement Senior/Commercial | $2,800 | 45% |
| Allied Physicians Ipa | $2,800 | 45% |
| Health Net | $3,000 - $7,651 | 49% |
| Molina Medical Centers | $3,725 | 60% |
| Ahmc Healthcare Inc | $3,876 - $7,776 | 63% |
| Healthnet | $3,896 | 63% |
| Care 1St M Cal | $5,000 | 81% |
| Veterans Administration | $5,443 | 88% |
| Aetna | $6,600 - $8,283 | 107% |
| Senior Citizens Choice | $6,889 | 112% |
| Avanti | $6,998 - $9,331 | 113% |
| Hollywood Presbyterian Adv Med Mcal | $6,998 | 113% |
| Hollywood Presbyterian Medpoint Mcal | $6,998 | 113% |
| Apa/Aco Inc | $7,651 | 124% |
| Cms | $7,651 | 124% |
| Easy Choice Health Plan | $7,651 | 124% |
| First Health Senior | $7,651 | 124% |
| Foundation Health Plan | $7,651 | 124% |
| Health Net Inc | $7,651 - $27,238 | 124% |
| Humana | $7,651 | 124% |
| Medicare (plans) | $7,651 - $8,034 | 124% |
| Scan Health Plan | $7,651 | 124% |
| Secure Horizons | $7,651 | 124% |
| Ucla/Impact Cancer | $7,651 | 124% |
| UnitedHealthcare | $7,651 | 124% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $7,776 | 126% |
| La Care Covered Direct | $7,776 | 126% |
| Self-Pay | $7,776 | 126% |
| Molina Healthcare Medi-Connect | $8,034 | 130% |
| San Miguel Health Plan | $8,553 | 138% |
| Preferred Health Network | $9,296 | 151% |
| Interplan | $9,491 | 154% |
| Ahmc Health Epo | $9,719 | 157% |
| Knox-Keene Act | $9,719 | 157% |
| Molina Healthcare Of California | $9,719 | 157% |
| Athens Administrators | $9,785 | 158% |
| Indemnity W Comp Fee Schedule | $9,785 | 158% |
| Multiplan | $9,785 | 158% |
| Alignment Health Plan | $10,329 | 167% |
| Health Net Of California | $23,156 | 375% |
| Pacificare | $29,571 - $37,123 | 479% |
| One Health Plan | $30,000 | 486% |
| Choice Care Network | $32,500 | 526% |
| Corvel Corporation | $40,000 | 648% |