CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Caribbean Medical Center

Billing Code: 47562 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$973

about 0.2× the $6,176 Medicare rate · typically $343–$2,817

modeled estimate · not a bill or quote

Medicare pays $6,176 Fair price $973 Hospital's list price $609

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Humana Blue Cross Blue ShieldAetnaCignaKaiser 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	$619	10%
Humanamajor	$619	10%
+ 20 smaller / regional plans	$350 - $1,500

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

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, 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 Caribbean Medical Center 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.

What each insurance company pays

Self-Pay How to get the cash price

Insurance Before you use insurance

Other Procedures at Caribbean Medical Center