CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$8,261

about 1.3× the $6,176 Medicare rate · typically $5,380–$9,817

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,356

Below the fair price — a good deal

about $1,905 under the fair price · 1.0× Medicare

Medicare pays $6,176 Fair price $8,261 This hospital $6,356 Cash price $16,358 Hospital's list price $77,893

How we calculate the fair BaseRate →

How this hospital compares to other FL hospitals

Highest price of the 9 FL hospitals we have prices for — worth calling around.

Cheapest $1,025 Priciest $6,356

Black dot = this hospital, among the 9 FL hospitals with a price for this procedure. Full list below.

A fair price for a Gallbladder removal (laparoscopic) is about $8,261 (about 1.3× the $6,176 Medicare rate). Physicians Regional Medical Center - Pine Ridge charges insurers about $6,356, or about $16,358 in cash — below the fair price — a good deal. Located in Naples, FL.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$2,400 - $18,850	39%
Blue Cross Blue Shieldmajor	$6,212 - $29,041	101%
Aetnamajor	$6,212 - $51,721	101%
Cignamajor	$21,500	348%
Humanamajor	$2,472 - $6,212	40%
Ambetter (Centene)	$16,099	261%
Amerigroup	$2,616	42%
AvMed	$29,599	479%
HealthPartners	$32,513	526%
Simply Healthcare	$2,544 - $3,000	41%
WellCare	$2,520 - $6,503	41%
+ 9 smaller / regional plans	$220 - $15,783

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 16,358), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 47562.

Insurance Before you use insurance

Call your insurance company to confirm Physicians Regional Medical Center - Pine Ridge is in-network.
Ask your insurer whether prior approval is required for CPT code 47562.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Physicians Regional Medical Center - Pine Ridge

Compare: Gallbladder removal (laparoscopic) at other FL hospitals

Cleveland Clinic Indian River Hospital · Vero Beach $1,025
Cleveland Clinic Hospital · Weston $1,040
Cleveland Clinic Martin North Hospital · Stuart $1,059
Larkin Community Hospital · South Miami $1,075
Doctors Memorial Hospital Inc · Perry $1,500
Jay Hospital · Jay $2,451
Sarasota Memorial Hospital - Venice · North Venice $2,640
Palm Beach Gardens Medical Center · Palm Beach Gardens $2,670

Insurance negotiated median for the same procedure, sorted lowest first.