CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Memorial Hospital West

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $7,197
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.17x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Memorial Hospital West is $7,197. 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 1.17x the Medicare baseline. Located in 703 N Flamingo Rd, Pembroke Pines, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,197

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: $7,197 (117%)
Ins. Median: $7,197 (117% 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 $259 4%
Employers Choice Network $259 4%
First Health $259 4%
Gallagher Bassett $259 4%
Prime Health Services $259 4%
Broward County $718 12%
UnitedHealthcare $6,313 - $7,576 102%
Health Value Management $6,503 105%
Wellcare $6,692 - $6,881 108%
Florida Community Care $6,755 109%
Humana $6,818 110%
Aetna $7,008 113%
Doctors Healthcare Plans $7,134 116%
Solis Health Plan $7,134 116%
Health Sun $7,197 117%
Florida Pace Centers $7,260 118%
Align Senior Care $7,702 125%
Gold Kidney $7,702 125%
Longevity $7,892 128%
Community Care Plan $8,333 135%
Molina $8,500 138%
Sunshine $8,523 - $11,995 138%
Cigna $8,723 - $14,149 141%
Amerihealth Caritas $9,873 160%
Employers Health Network $11,986 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 703 N Flamingo Rd, Pembroke Pines, FL 33028
  • CMS Rating: ★★★☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals