CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Jay Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $2,451
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.40x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Jay Hospital is $2,451. 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 0.40x the Medicare baseline. Located in 14114 Alabama St, Jay, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,451

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: $2,451 (40%)
Ins. Median: $2,451 (40% 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
Wellcare $1,288 21%
Aetna $2,334 38%
Cha Health Plan $2,334 38%
Simply Healthcare Healthy Kids $2,334 38%
Humana $2,451 - $5,974 40%
Staywell $2,451 40%
Sunshine Health $2,451 40%
UnitedHealthcare $3,577 58%
Fl Community Care Ltc $3,828 62%
Medicare (plans) $4,861 79%
Fl Blue $12,298 199%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 14114 Alabama St, Jay, FL 32565
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals