CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Sarasota Memorial Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $569
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.09x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Sarasota Memorial Hospital is $569. 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 0.09x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$569

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: $569 (9%)

Ins. Median: $569 (9% 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
Simply Healthcare Oncology	$86 - $436	1%
Sunshine State Oncology	$86 - $436	1%
Molina Oncology	$88 - $448	1%
Amerihealth Caritas Oncology	$90 - $456	1%
Community Care Plan Oncology	$90 - $456	1%
Blue Cross Blue Shield	$106 - $5,856	2%
Florida Community Care Oncology	$108 - $682	2%
UnitedHealthcare	$111 - $15,501	2%
Wellcare Oncology	$117 - $593	2%
Aetna	$119 - $8,962	2%
Simply Freedom Optimum Oncology	$119 - $603	2%
Oscar Oncology	$184 - $933	3%
Careworks	$255 - $1,416	4%
Enlyte	$255 - $1,416	4%
Ambetter / Centene	$1,834 - $15,812	30%
Simply Healthcare	$2,400 - $2,520	39%
Sunshine State	$2,520	41%
Molina	$2,592	42%
Amerihealth Caritas	$2,640	43%
Community Care Plan	$2,640	43%
Florida Community Care	$2,640 - $6,442	43%
Simply Freedom Optimum	$6,149	100%
Wellcare	$6,149	100%
Oscar Health	$6,934	112%

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 $X.
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 Sarasota Memorial Hospital 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.