CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Carlsbad Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $8,021
  • Cash Discount Price: $7,572
  • vs. Medicare Baseline: 1.30x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Carlsbad Medical Center is $8,021. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,572. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.30x the Medicare baseline. Located in 2430 West Pierce Street, Carlsbad, NM.
Cash / Self-Pay
$7,572

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,021

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%)
Cash / Self-Pay: $7,572 (123%)
Insurance Median: $8,021 (130%)
Cash: $7,572 (123% of Medicare)
Ins. Median: $8,021 (130% 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
Veterans Eval Services $643 10%
Blue Cross Blue Shield $3,828 - $68,363 62%
Medicaid / KanCare $3,828 - $5,444 62%
UnitedHealthcare $4,221 - $38,998 68%
Medicare (plans) $6,307 102%
Node Molina Mcr Adv $6,307 102%
Presbyterian $6,307 - $54,725 102%
Node Va $6,410 104%
Triwest $6,410 104%
Node Choice Care Mcr Adv $6,623 107%
Node Devoted Health Mcr Adv $6,623 107%
Self Pay $7,572 123%
Department Of Veterans Affairs $7,601 123%
Tricare $7,601 123%
Us Department Of Labor $8,012 130%
Wexford Health $8,012 130%
Work Comp Nm $8,029 130%
Capstar $13,842 224%
Eddy County Detention $15,000 243%
Node Molina Health Exchange $17,499 283%
Nm Health Connection $25,639 415%
Cigna $37,862 - $63,456 613%
Zelis $47,706 - $63,608 772%
Omni Network $49,220 797%
Choice Care $53,006 858%
Ccn First Health $60,579 981%
Healthsmart $61,336 - $65,122 993%
Aetna $63,608 1030%
Multiplan $63,608 1030%
Medical Control Inc $70,423 1140%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2430 West Pierce Street, Carlsbad, NM 88220
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Acute Care Hospitals