CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: HCA Florida Lawnwood Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $11,593
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.88x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at HCA Florida Lawnwood Hospital is $11,593. 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 1.88x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$11,593

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: $11,593 (188%)
Ins. Median: $11,593 (188% 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 $245 - $1,360 4%
Careworks (Rockport) $250 - $1,389 4%
Prime Health $250 - $1,389 4%
Freedom Health $2,350 - $4,575 38%
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%
Cigna $4,521 - $26,272 73%
Sunshine State Health Plan $6,625 107%
Blue Cross Blue Shield $7,440 - $24,677 120%
Aetna $7,650 - $19,032 124%
United $8,068 - $39,000 131%
Pinnacol Workers Comp $8,879 144%
Multiplan $9,252 150%
Avmed $9,433 - $23,283 153%
Rocky Mountain Health Plan $13,938 226%
Oscar $17,846 289%
Simply Healthcare $19,005 308%
Humana $22,221 360%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals