CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Adventist Health Tehachapi Valley

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $729
Cash Discount Price: $96
vs. Medicare Baseline: 0.12x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Adventist Health Tehachapi Valley is $729. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $96. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.12x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$96

Average discount available for prompt cash payment at this facility.

Insurance Median

$729

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: $96 (2%)

Insurance Median: $729 (12%)

Cash: $96 (2% of Medicare)

Ins. Median: $729 (12% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Medi-Cal	$93	2%
Universal Ipa Mcal Op/Profee Only	$93	2%
Healthnet Mcare	$623	10%
Tricare	$623	10%
UnitedHealthcare	$623 - $874	10%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$623	10%
Aetna	$672	11%
Network Providers- All Plans	$679	11%
Ah Employee Health Plan - All Plans	$685	11%
Oscar Health Plan- All Plans	$716	12%
Cigna	$742	12%
Coventry- All Plans	$748	12%
Western Grwrs/Pinnacle - All Plans	$866	14%
Healthnet- All Other Plans	$908	15%
Centivo - All Plans	$934	15%
Blue Shield Epn- All Other Plans	$999	16%
Blue Shield Non-Epn	$1,056	17%
Blue Cross Blue Shield	$1,476	24%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $96.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 47562.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Adventist Health Tehachapi Valley is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 47562.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.