CMS Price Transparency Data
Gallbladder removal (laparoscopic)
Facility: Children's Hosp of Los Angeles
Billing Code: 47562 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 47562
- Insurance Median: $1,371
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Children's Hosp of Los Angeles is $1,371. 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 0.22x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,371
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: $1,371 (22%)
Ins. Median: $1,371 (22% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Altamed | $653 - $16,082 | 11% |
| Caloptima | $653 | 11% |
| Medi-Cal | $669 | 11% |
| Valley Presbyterian Hospital | $669 | 11% |
| Health Net | $836 | 14% |
| Choc Health Alliance | $836 | 14% |
| St Francis Medical Center | $869 - $1,290 | 14% |
| Bella Vista Med Grp | $976 | 16% |
| Premier Physicians Ntwk | $976 | 16% |
| Global Care Medical Group | $976 | 16% |
| Health Care La IPA | $976 | 16% |
| El Proyecto Del Barrio | $976 | 16% |
| Centinela Valley IPA | $976 | 16% |
| Watts Healthcare Mmc | $976 | 16% |
| Hollywood Presbyterian Medical Center | $1,003 | 16% |
| Community Family Care IPA | $1,003 | 16% |
| Heritage Provider Network | $1,070 - $18,714 | 17% |
| Blue Cross Blue Shield | $1,102 - $11,241 | 18% |
| La Care | $1,110 - $16,375 | 18% |
| Serra Community Med Clinic | $1,147 | 19% |
| White Memorial Medical Center | $1,170 | 19% |
| Care 1St | $1,170 | 19% |
| Adventist Health Physicians | $1,203 - $17,544 | 19% |
| Cal Care IPA | $1,217 | 20% |
| Serendib Healthways Mmc | $1,237 | 20% |
| Associated Hispanic Physicians IPA | $1,237 | 20% |
| Hispanic Physician IPA | $1,237 | 20% |
| Gold Coast Health Plan | $1,237 | 20% |
| Beverly Hospital | $1,244 | 20% |
| San Judas Med Grp | $1,250 | 20% |
| Los Angeles Medical Center IPA | $1,250 | 20% |
| Alhambra Hospital Medical Center | $1,257 | 20% |
| Accountable Health | $1,277 | 21% |
| Souther California Hosp System - Mmc | $1,282 | 21% |
| Cencal Health | $1,290 | 21% |
| Pacific Alliance Medical Center | $1,310 | 21% |
| Blue Shield | $1,323 - $9,462 | 21% |
| Seaside Health Plan | $1,337 | 22% |
| Angeles IPA | $1,337 | 22% |
| Employee Health Systems Med Grp | $1,337 | 22% |
| Crown City Medical Group | $1,337 | 22% |
| Point Comfort Underwriters | $1,337 | 22% |
| Karing Physicians Medical Group | $1,364 | 22% |
| Regent Medical Group | $1,364 | 22% |
| Imperial Health Holdings Medical Group | $1,364 | 22% |
| Noble Community Medical Associates | $1,364 | 22% |
| Preferred IPA | $1,371 | 22% |
| Primary Care and Pediatric IPA | $1,371 | 22% |
| Mabuhay Medical Group | $1,371 | 22% |
| Avalon IPA | $1,371 | 22% |
| Exceptional Care Medical Group | $1,371 - $22,320 | 22% |
| Inland Empire Health Plan | $1,377 | 22% |
| Family Care Specialists | $1,411 | 23% |
| Molina | $1,411 | 23% |
| Family Health Alliance Med Grp | $1,437 | 23% |
| Applecare Medical Group | $1,478 - $19,007 | 24% |
| Community Care IPA Mmc | $1,478 | 24% |
| Dignity Health | $1,484 | 24% |
| Allied Pacific IPA | $1,571 | 25% |
| Asian Community Medical Group | $1,591 | 26% |
| Healthy New Life Medical Corp | $1,591 | 26% |
| California Pacific Physicians Medical Group | $1,591 | 26% |
| Kern Family Health Plan | $1,685 | 27% |
| Superior Choice Medical Group | $1,812 | 29% |
| Southland San Gabriel Valley Medical Group | $1,825 | 30% |
| Cigna | $4,077 | 66% |
| UnitedHealthcare | $7,028 - $12,778 | 114% |
| Champus | $7,542 | 122% |
| Medicare (plans) | $9,583 | 155% |
| Accarent Health | $9,747 | 158% |
| Sierra Health and Life Insurance Company | $10,000 | 162% |
| Delta Health Systems | $11,564 | 187% |
| Incentive Health Network | $18,032 | 292% |
| Gemcare IPA | $18,714 | 303% |
| Managed Care Systems | $19,007 | 308% |
| Providence Health Network | $19,494 | 316% |
| Ventura County Health Plan | $24,855 | 402% |
| Staywell Insurance | $25,000 | 405% |
| Good Samaritan Medical Group | $26,804 | 434% |
| Access Medical Group | $27,096 | 439% |
| Seoul Medical Group | $29,923 | 484% |
| Southern Atlantic Medical Group Mmc | $30,839 | 499% |