CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: HCA Florida Northwest Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $9,433
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.53x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at HCA Florida Northwest Hospital is $9,433. 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 1.53x the Medicare baseline. Located in 2801 N State Rd 7, Margate, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$9,433

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: $9,433 (153%)
Ins. Median: $9,433 (153% 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
Corvel Corporation $259 - $1,435 4%
Careworks (Rockport) $264 - $1,465 4%
Prime Health $264 - $1,465 4%
Optimum $2,350 - $4,575 38%
Simply Healthcare Plans $3,792 61%
Molina $3,950 - $5,211 64%
Health Sun Health Plan $4,200 68%
Medica Healthcare $4,500 73%
Freedom Health $4,575 74%
Mmm Of Fl (Health Advantage Plan) $4,750 77%
Sunshine State Health Plan $5,048 82%
Aetna $6,632 - $10,980 107%
Avmed $9,433 - $20,179 153%
Simply Healthcare $10,737 174%
Cigna $11,255 182%
Oscar $11,883 192%
Humana $12,483 - $14,266 202%
Amerihealth Caritas $13,315 216%
Blue Cross Blue Shield $13,571 - $18,507 220%
United $14,521 235%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2801 N State Rd 7, Margate, FL 33063
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals