CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Adventist Health Mendocino Coast

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $616
  • Cash Discount Price: $236
  • vs. Medicare Baseline: 0.10x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Adventist Health Mendocino Coast is $616. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $236. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.10x the Medicare baseline. Located in 700 River Drive, Fort Bragg, CA.
Cash / Self-Pay
$236

Average discount available for prompt cash payment at this facility.

Insurance Median
$616

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: $236 (4%)
Insurance Median: $616 (10%)
Cash: $236 (4% of Medicare)
Ins. Median: $616 (10% 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
Medi-Cal $155 3%
Partnership Hp Mcal-All Plans $225 4%
Ahcc - All Plans $303 - $2,231 5%
Beech Street - All Plans $303 - $2,231 5%
Great West Hmo/Pos/Epo/Oa $303 - $2,231 5%
Great West Ppo - All Other Plans $303 - $2,231 5%
Multiplan - All Plans $303 - $2,231 5%
Cigna $616 10%
Tricare $616 10%
UnitedHealthcare $616 - $874 10%
Ah Employee Health Plan - All Plans $677 11%
Blue Cross Blue Shield $719 12%
Healthnet - All Plans $897 15%
Blue Shield Epn $999 16%
Blue Shield - All Other Plans $1,056 17%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 River Drive, Fort Bragg, CA 95437
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals