CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: HCA Florida Englewood Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $8,771
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at HCA Florida Englewood Hospital is $8,771. 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 1.42x the Medicare baseline. Located in 700 Medical Blvd, Englewood, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,771

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: $8,771 (142%)
Ins. Median: $8,771 (142% 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 $239 - $1,325 4%
Rockport Healthcare Group $239 - $1,325 4%
Prime Health $244 - $1,353 4%
Access 2 Healthcare Physicians Freedom Optimum Group Members $3,843 62%
Molina $3,950 - $5,711 64%
Simply Healthcare $3,950 - $11,918 64%
Access 2 Healthcare Physicians Freedom Health $4,575 74%
Access 2 Healthcare Physicians Optimum $4,575 74%
Freedom Health Care $4,575 74%
Optimum Healthcare $4,575 74%
Behealthy America $4,950 80%
Truli $8,275 - $10,037 134%
Blue Cross Blue Shield $8,771 - $15,932 142%
Aetna $10,170 - $16,862 165%
United $11,800 191%
Avmed $13,029 - $25,210 211%
Cigna $13,617 220%
Oscar $14,352 232%
Evolutions Healthcare Systems $15,815 256%
Humana $16,358 265%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 Medical Blvd, Englewood, FL 34223
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals