CMS Price Transparency Data
Gallbladder removal (laparoscopic)
Facility: Coastal Communities Hospital
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 Coastal Communities Hospital 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 2701 S Bristol St, Santa Ana, 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
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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 |
|---|---|---|
| Kpc Healthcare Inc | $559 - $9,719 | 9% |
| Healthcare Partners | $669 | 11% |
| Hollywood Presbyterian | $669 - $7,737 | 11% |
| Kaiser | $669 - $7,737 | 11% |
| Medi-Cal Hmo/Non Contract | $669 | 11% |
| Medicaid / KanCare | $669 | 11% |
| Altamed Health Services | $936 - $7,737 | 15% |
| Caloptima | $936 - $7,776 | 15% |
| Choc Health Alliance | $936 | 15% |
| County Of Orange | $936 | 15% |
| Family Choice | $936 | 15% |
| Heritage Provider Network | $936 - $5,815 | 15% |
| Prospect Health Plan | $936 - $11,663 | 15% |
| Ihhi Reciprocity | $2,000 | 32% |
| Monarch | $6,589 - $7,752 | 107% |
| Cigna | $7,133 - $18,930 | 115% |
| UnitedHealthcare | $7,437 - $7,737 | 120% |
| Champus | $7,465 | 121% |
| Blue Shield | $7,737 - $29,480 | 125% |
| Central Health Plan Of California | $7,737 | 125% |
| Champion Health Plan | $7,737 | 125% |
| Citizens Choice Health Plan | $7,737 | 125% |
| Clever Care Health Plan | $7,737 | 125% |
| For Your Benefit | $7,737 | 125% |
| Health Net | $7,737 - $13,339 | 125% |
| Healthcare Partners Sr Hmo | $7,737 | 125% |
| Heritage | $7,737 | 125% |
| Humana | $7,737 | 125% |
| Onecare | $7,737 | 125% |
| Onecare Connect | $7,737 | 125% |
| Other Senior Non Contract | $7,737 | 125% |
| Scan Health Plan | $7,737 | 125% |
| Us Federal Marshall/Department Of Immigration | $7,737 | 125% |
| Velocity Provider Network Sr | $7,737 | 125% |
| Verda Health Plan Sr | $7,737 | 125% |
| Veterans Administration | $7,737 | 125% |
| Choice Physicians Network | $7,776 | 126% |
| Easy Choice Health Plan | $7,776 | 126% |
| Imperial Health Plan Of Ca | $7,776 | 126% |
| Innovative Integrated Health | $7,776 | 126% |
| Medcare Partners | $7,776 | 126% |
| Self Pay Ab774/Cbo Use Only | $7,776 | 126% |
| Us Dept Of Labor | $7,776 | 126% |
| Victim Of Violent Crime | $7,776 | 126% |
| Victoria Hospice | $7,776 | 126% |
| Monarch Health Plan | $8,293 | 134% |
| Brand New Day | $8,666 | 140% |
| Aetna | $8,830 | 143% |
| Prime Health Srvs | $8,898 | 144% |
| Coventry Auto Network | $9,307 | 151% |
| Prime Health Srvs/Wc | $9,307 | 151% |
| Interplan | $9,411 | 152% |
| Coventry Wc | $9,669 | 157% |
| County Of Orange/Custody/Advanced Medmgt | $9,672 | 157% |
| Veterans Evaluation Services | $9,719 | 157% |
| Multiplan | $10,135 - $35,000 | 164% |
| Three Rivers | $10,135 | 164% |
| Velocity National Provider Network Wc | $10,341 | 167% |
| Workers Comp State Of California | $10,341 | 167% |
| Staywell/Island Home Ins | $10,886 | 176% |
| Three Rivers Network | $13,607 | 220% |
| Velocity National Provider Network Ppo | $13,607 | 220% |
| Healthsmart | $37,500 | 607% |