CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Caribbean Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $717
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.12x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Caribbean Medical Center is $717. 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 0.12x the Medicare baseline. Located in 151 Ave Osvaldo Molina, Fajardo, PR.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$717

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: $717 (12%)
Ins. Median: $717 (12% 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
Auxilio Mutuo $350 - $1,500 6%
Auxilio Mutuo Plus $350 - $1,500 6%
Triple S Privado $350 - $783 6%
Tsa $350 - $1,496 6%
Triples S Reforma $405 - $689 7%
Acaa $500 8%
Imc Privado $574 - $1,215 9%
Humana $619 10%
Medicare (plans) $619 10%
Mmm $619 10%
Tricare $619 10%
UnitedHealthcare $619 10%
Well Care $619 10%
Asociacion De Maestros Pr $648 10%
First Medical Ases $650 - $1,327 11%
Mmm Multi Health Ases $650 - $1,094 11%
Union Carpinteros $651 - $1,242 11%
Hoffa $695 11%
Mapfre $739 - $1,289 12%
Menonita Privado $750 12%
Cfse $789 13%
Panamerican Life Insurance $1,092 18%
Menonita Ases $1,131 18%
Mcs Classicare $1,217 - $1,266 20%
Mcs Privado $1,217 - $1,266 20%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Ave Osvaldo Molina, Fajardo, PR 00738
  • CMS Rating: No CMS Rating
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals