CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: North Okaloosa Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,523
  • Cash Discount Price: $15,890
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at North Okaloosa Medical Center is $6,523. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,890. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.06x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$15,890

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,523

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: $15,890 (257%)
Insurance Median: $6,523 (106%)
Cash: $15,890 (257% of Medicare)
Ins. Median: $6,523 (106% 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
Evolutions $238 - $77,683 4%
Usa Managed Care Work Comp Fl $238 4%
Prime Health Work Comp Fl $243 4%
Amcomp Workers Comp $250 4%
Veterans Eval Services $675 11%
Amerigroup $2,400 39%
Medicaid / KanCare $2,400 39%
UnitedHealthcare $2,400 - $22,082 39%
Simply Healthcare $2,448 - $6,523 40%
Humana $2,472 - $6,523 40%
Integral Health $2,520 41%
Wellcare $2,520 - $6,399 41%
Magellan Health $2,580 42%
Prestige Health $2,784 45%
Aetna $6,212 - $66,207 101%
Blue Cross Blue Shield $6,212 - $15,402 101%
Cigna $6,212 - $68,855 101%
Medicare (plans) $6,212 101%
Node Non Par Hospice Agree $6,313 102%
Node Va $6,313 102%
Florida Department Of Corrections $6,833 111%
Tricare $7,123 115%
Node Champva $7,498 121%
Node Us Dept Of Labor $7,892 128%
State Auto Insurance Fl $12,626 204%
Occunet $15,783 256%
Self Pay $15,890 257%
Oscar $18,297 296%
Corizon Health Inc $29,837 483%
Phcs $79,448 1286%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals