CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Halifax Health Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,856
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.95x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Halifax Health Medical Center is $5,856. 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 0.95x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,856

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: $5,856 (95%)
Ins. Median: $5,856 (95% 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
Embs $4,978 81%
Tricare $5,312 86%
Humana $5,681 - $11,654 92%
Aetna $5,856 - $11,951 95%
Americas Choice Provider Network $5,856 95%
Blue Cross Blue Shield $5,856 95%
Cigna $5,856 95%
Coventry $5,856 95%
Division Of The Blind $5,856 95%
Freedom Health $5,856 95%
Medicare (plans) $5,856 95%
Optimum Healthcare $5,856 95%
Sunshine State Health Plan $5,856 - $11,713 95%
UnitedHealthcare $5,856 95%
Wellcare $5,856 95%
Molina $5,974 97%
Devoted Health $6,091 99%
Independent Living Systems $6,149 100%
Longevity $6,149 100%
Prime Health Services $6,149 100%
Clear Spring Health Of Fl $6,383 103%
Evolutions $8,785 142%
Employers Health Network $11,713 190%
Fhcp $11,830 192%
Centivo $12,591 204%
Florida Healthcare $12,708 206%
Claimdoc $13,177 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals