CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Saint Mary's Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $197
  • Cash Discount Price: $1,451
  • vs. Medicare Baseline: 0.03x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Saint Mary's Hospital is $197. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,451. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.03x the Medicare baseline. Located in 56 Franklin Street, Waterbury, CT.
Cash / Self-Pay
$1,451

Average discount available for prompt cash payment at this facility.

Insurance Median
$197

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: $1,451 (23%)
Insurance Median: $197 (3%)
Cash: $1,451 (23% of Medicare)
Ins. Median: $197 (3% 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
Fallon Health $65 - $686 1%
Mass General Brigham Health Plan $79 - $719 1%
Blue Cross Blue Shield $81 - $21,496 1%
Medicaid / KanCare $91 - $1,556 1%
Unicare $91 - $21,496 1%
Wellpoint $91 - $21,496 1%
Claimdoc $94 - $15,220 2%
Innovative Health Plan II $94 - $15,220 2%
Health New England $95 - $728 2%
Bcn Domestic $105 - $21,496 2%
Blue Benefit Administrators of Massachusetts $105 - $21,496 2%
Blue Care Network $105 - $21,496 2%
Blue Distinction Transplant $105 - $21,496 2%
Blue Shield - Ca $105 - $21,496 2%
Blue Shield - Id (Regence) $105 - $21,496 2%
Blue Shield - Ny Highmark Northeastern $105 - $21,496 2%
Blue Shield - Ny Highmark Western $105 - $21,496 2%
Blue Shield - PA (Highmark) $105 - $21,496 2%
Blue Shield - Wa (Regence) $105 - $21,496 2%
Health Choices $105 - $21,496 2%
Kaiser Domestic $105 - $21,496 2%
Pre-Employment $105 - $21,496 2%
Wc Domestic $105 - $21,496 2%
Connecticare $112 - $940 2%
Healthscope $113 - $707 2%
Tufts Health Plan $113 - $706 2%
Multiplan $115 - $722 2%
Harvard Pilgrim Healthcare $119 - $747 2%
Centivo $124 - $14,495 2%
Prime Health Services $129 - $807 2%
Aetna $132 - $7,103 2%
Coventry $132 - $825 2%
First Health $132 - $825 2%
Guardian $132 - $825 2%
Meritain $132 - $825 2%
Andrie Inc $134 - $834 2%
East Greenbush Central School District $134 - $834 2%
Genex Wc $134 - $834 2%
Healthsmart Workers Comp $134 - $834 2%
Jag Source $134 - $834 2%
New York State Insurance Fund $134 - $834 2%
Njm Insurance Group $134 - $834 2%
Rx Heatlhcomp $134 - $834 2%
Rx Restat $134 - $834 2%
Rx Saif Opdp Wc $134 - $834 2%
Rx Worker's Comp $134 - $834 2%
Wc Accident Fund $134 - $834 2%
Wc Ace $134 - $834 2%
Wc Acs Federal Employees $134 - $834 2%
Wc Acuity $134 - $834 2%
Wc Advantage $134 - $834 2%
Wc Aegis $134 - $834 2%
Wc Aig $134 - $834 2%
Wc Aims $134 - $834 2%
Wc Alaska National Ins $134 - $834 2%
Wc Align Network $134 - $834 2%
Wc Allied $134 - $834 2%
Wc Am Trust N America $134 - $834 2%
Wc American Claims Mgmt $134 - $834 2%
Wc Amerisure $134 - $834 2%
Wc Amtrust $134 - $834 2%
Wc Asu Risk Mgt $134 - $834 2%
Wc Benetech $134 - $834 2%
Wc Berkley Admin $134 - $834 2%
Wc Broadspire $134 - $834 2%
Wc Broward County $134 - $834 2%
Wc Bunch & Associates $134 - $834 2%
Wc California State Comp Ins $134 - $834 2%
Wc California State Ins Fund $134 - $834 2%
Wc Capitol Area Health Consortium $134 - $834 2%
Wc Ccmsi $134 - $834 2%
Wc Chartis $134 - $834 2%
Wc Chubb $134 - $834 2%
Wc Cirma $134 - $834 2%
Wc City of Albany $134 - $834 2%
Wc City of Sioux City $134 - $834 2%
Wc Claims Mgmt Inc $134 - $834 2%
Wc Cna $134 - $834 2%
Wc Comp One Admin C/O Manageability $134 - $834 2%
Wc Compone Admin $134 - $834 2%
Wc Ct Healthcare Trust $134 - $834 2%
Wc Donegal Insurance Group $134 - $834 2%
Wc Emc Insurance Company $134 - $834 2%
Wc Employee Mutual $134 - $834 2%
Wc Enablecomp $134 - $834 2%
Wc Encore Health Network $134 - $834 2%
Wc Erie $134 - $834 2%
Wc Esis $134 - $834 2%
Wc Evolutions $134 - $834 2%
Wc Fcci $134 - $834 2%
Wc Fed Ex $134 - $834 2%
Wc Federal Black Lung $134 - $834 2%
Wc Federated $134 - $834 2%
Wc Finley Occupational Health $134 - $834 2%
Wc First Agency/Occunet $134 - $834 2%
Wc Ford Motor $134 - $834 2%
Wc Fresno Unified Emp $134 - $834 2%
Wc Gallagher Bassett $134 - $834 2%
Wc General Motors $134 - $834 2%
Wc Generic $134 - $834 2%
Wc Genex Care for Ohio $134 - $834 2%
Wc Great West Casualty $134 - $834 2%
Wc Guarantee Insurance $134 - $834 2%
Wc Guard Insurance Company $134 - $834 2%
Wc Hab $134 - $834 2%
Wc Hartford $134 - $834 2%
Wc Hastings $134 - $834 2%
Wc Health Management $134 - $834 2%
Wc Heritage Summit $134 - $834 2%
Wc Hireright $134 - $834 2%
Wc Horizon $134 - $834 2%
Wc Icw Group $134 - $834 2%
Wc Idaho State Ins Fund $134 - $834 2%
Wc Intercare Insurance $134 - $834 2%
Wc Intermountain $134 - $834 2%
Wc Johns Eastern $134 - $834 2%
Wc Kemberton $134 - $834 2%
Wc Key Ins & Benefit Solutions $134 - $834 2%
Wc Liberty Mutual $134 - $834 2%
Wc Mac Risk Management $134 - $834 2%
Wc Massachusetts $134 - $834 2%
Wc Mdia $134 - $834 2%
Wc Meadowbrook Claim $134 - $834 2%
Wc Medical Administrators $134 - $834 2%
Wc Meijers $134 - $834 2%
Wc Memic $134 - $834 2%
Wc Mercy Workcare $134 - $834 2%
Wc Michigan $134 - $834 2%
Wc Michigan Millers Mutual $134 - $834 2%
Wc Mitchell Frankenmuth $134 - $834 2%
Wc Mra $134 - $834 2%
Wc Nationwide $134 - $834 2%
Wc Nca Comp $134 - $834 2%
Wc New York $134 - $834 2%
Wc New York Special Funds $134 - $834 2%
Wc North American Rishces $134 - $834 2%
Wc Northeast Health $134 - $834 2%
Wc Notre Dame $134 - $834 2%
Wc Novanet $134 - $834 2%
Wc O'Hara Corp $134 - $834 2%
Wc Occ Health Allen $134 - $834 2%
Wc Ohio Bureau $134 - $834 2%
Wc One Call Medical $134 - $834 2%
Wc Paradigm $134 - $834 2%
Wc Peerless $134 - $834 2%
Wc Pma $134 - $834 2%
Wc Praxis Health Network $134 - $834 2%
Wc Price Chopper $134 - $834 2%
Wc Procura Management $134 - $834 2%
Wc Qualcare $134 - $834 2%
Wc Quiktrip $134 - $834 2%
Wc Reny Company $134 - $834 2%
Wc Rev Claims $134 - $834 2%
Wc Risico $134 - $834 2%
Wc Rural Mutual $134 - $834 2%
Wc Saif Oregon $134 - $834 2%
Wc Secura $134 - $834 2%
Wc Sedgwick $134 - $834 2%
Wc Sentry $134 - $834 2%
Wc Sheakley Unicomp $134 - $834 2%
Wc Smile Lodge $134 - $834 2%
Wc Society $134 - $834 2%
Wc Srs $134 - $834 2%
Wc Taconic (Mro) $134 - $834 2%
Wc Taconic Farms $134 - $834 2%
Wc Travelers $134 - $834 2%
Wc Triad Group $134 - $834 2%
Wc Tristar $134 - $834 2%
Wc Troy Ny $134 - $834 2%
Wc Tyson $134 - $834 2%
Wc Unified Health Services $134 - $834 2%
Wc United Heartland $134 - $834 2%
Wc Us Dept of Labor $134 - $834 2%
Wc Velocity $134 - $834 2%
Wc Walmart $134 - $834 2%
Wc West Bend $134 - $834 2%
Wc West Bend Mutual/Argent $134 - $834 2%
Wc Winnebago Industries $134 - $834 2%
Wc Yankee Trails $134 - $834 2%
Wc York Risk $134 - $834 2%
Wc Zenith $134 - $834 2%
Wc Zurich $134 - $834 2%
UnitedHealthcare $183 - $7,103 3%
Albany County Correctional Facility $197 3%
Ambetter / Centene $197 3%
Amish Mennonite $197 3%
Ascension St. Vincent Public Safety Medical $197 3%
Bcccp-Michigan $197 3%
Bccp $197 3%
Bmc Healthnet $197 3%
Breast Grant-Connecticut $197 3%
Broward County Dept of Health $197 3%
California Health and Wellness $197 3%
Can Community Health Inc $197 3%
Cardinal Innovations Lme $197 3%
Care Connections of Northern Iowa $197 3%
Care Oregon Ohp $197 3%
Cencal Health Plan $197 3%
Cenpatico $197 3%
Chhuny $197 3%
Childrens Comm Health Plan $197 3%
Childrens Medical Services Title 19 $197 3%
Cigna $197 - $7,316 3%
City of Philadelphia $197 3%
Cmh Allegan County $197 3%
Cmh Ausable Valley $197 3%
Cmh Barry County $197 3%
Cmh Bay-Arenac County $197 3%
Cmh Berrien County $197 3%
Cmh Cass County $197 3%
Cmh Central Mi County $197 3%
Cmh Clinton-Eaton-Ingham County $197 3%
Cmh Detroit Wayne Integrated Health Network $197 3%
Cmh Genesee County $197 3%
Cmh Ionia County $197 3%
Cmh Jackson County/Lifeways $197 3%
Cmh Kalamazoo $197 3%
Cmh Kent County $197 3%
Cmh Lenawee County $197 3%
Cmh Livingston County $197 3%
Cmh Macomb $197 3%
Cmh Misc $197 3%
Cmh Monroe County $197 3%
Cmh Montcalm County $197 3%
Cmh Muskegon County $197 3%
Cmh Newaygo County $197 3%
Cmh North Country $197 3%
Cmh Northern Lakes County $197 3%
Cmh Oakland County $197 3%
Cmh Ottawa County $197 3%
Cmh Van Buren County $197 3%
Cmh Washtenaw County $197 3%
Cmh Wayne County/Carelink $197 3%
Cmh Wayne Cty/Com Liv Svcs $197 3%
Cmh West Mi County $197 3%
Community Benefit Health $197 3%
Community Care Behavorial Health $197 3%
Community Care Partners $197 3%
Community Health Choice $197 3%
Connections Csp $197 3%
County Coroner $197 3%
County Funding Generic $197 3%
Covid19 Hrsa Uninsured Testing and Treatment Fund $197 3%
Dean Wi Badgercare $197 3%
Delaware County Department of Health $197 3%
Delaware First Health $197 3%
Dph Tb Program $197 3%
Dscc $197 3%
Eastpointe Lme $197 3%
Family Health Network $197 3%
Freedom First Healthcare $197 3%
Fresno County Ccs $197 3%
Ghc Scw Wi Badgercare $197 3%
Harbor Health $197 3%
Health Safety Net $197 3%
Health Smart $197 - $2,645 3%
Healthy Blue Ne $197 3%
Hennepin Health $197 3%
Humana $197 - $333 3%
Id County Ada $197 3%
Id County Canyon $197 3%
Id County Cat Fund $197 3%
Id County Other $197 3%
Id County Payette $197 3%
Idaho Dept Health and Wellfare $197 3%
Idaho Womens Health Check $197 3%
Indiana Breast Cervical Cancer $197 3%
Inland Empire Health Plan $197 3%
Intercommunity Health Ohp $197 3%
Iowa Total Care $197 3%
Jai Medical System $197 3%
Kern Family Health Plan $197 3%
Keystone First $197 3%
Keystone First Chip $197 3%
La Care Health Plan $197 3%
Lakeland Care Inc $197 3%
Managed Health Services - Indiana $197 3%
Maryland Breast & Cervical Program $197 3%
Maryland Healthy Smiles - Scion Dental $197 3%
Maryland Physicians Care $197 3%
Massachusetts Behavioral Health Partnership $197 3%
Mdwise $197 3%
Medi-Cal $197 3%
Medi-Cal Healthnet $197 3%
Medstar Dc Healthy Family $197 3%
Medstar Md Health Choice $197 3%
Mo Home State Health Plan $197 3%
Molina Centennial Care $197 3%
Nascentia Health Options $197 3%
Nebraska Total Care $197 3%
New York Cancer Services Program $197 3%
Nextlevel Health $197 3%
Oregon Screenwise $197 3%
Pace of Southwest Michigan $197 - $330 3%
Paramount Advantage $197 3%
Parkland Community Health Plan $197 3%
Partners Behavioral Lme $197 3%
Peach State Healthplan $197 3%
Philadelphia County Funding $197 3%
Presbyterian Centennial Care $197 3%
Prestige Health Choice $197 3%
Priority Partners $197 3%
Robert F Sing Program $197 3%
Rx 340B Pass Along $197 3%
Rx Assistance/Rx Manufacturer Assistance 0 Copay $197 3%
Rx Medi-Cal $197 3%
Rx Meridian Rx $197 3%
Ryan White Florida Mssrp $197 3%
Sandhills Center Lme $197 3%
Screening for Life $197 3%
St Joseph County Hlth Dpt $197 3%
Stephenson Cty Health $197 3%
Sunshine State Health Plan $197 3%
Superior Health $197 3%
Tenncare $197 3%
Texas Children's Health Plan $197 3%
Trillium Community Ohp $197 3%
Tufts Health Public Plans $197 3%
Vaya Health Lme $197 3%
Washtenaw Health Plan $197 3%
Wc Corvel $197 - $2,645 3%
Wellsense Health Plan $197 3%
Wi Womens Wellness $197 3%
Delta Dental Ga $232 - $3,112 4%
Delta Dental Mi $232 - $3,112 4%
Delta Dental Mo $232 - $3,112 4%
Delta Dental Nj $232 - $3,112 4%
Delta Dental Ny $232 - $3,112 4%
Delta Dental Oh $232 - $3,112 4%
Delta Dental Or $232 - $3,112 4%
Delta Dental PA $232 - $3,112 4%
Delta Dental VA $232 - $3,112 4%
Delta Dental Wa $232 - $3,112 4%
Liberty Dental $232 - $3,112 4%
Align Senior Care $330 5%
Ally Align Care Adv $330 5%
American Health Advantage of Idaho $330 5%
American Health Plan $330 5%
Aurora Special Needs $330 5%
Blue Care Network Advantage $330 5%
Blue Shield - De (Highmark) Medciare Advantage $330 5%
Care Dimensions $330 5%
Care Improvement Plus $330 5%
Care Resources Pace $330 5%
Careplus Health Plans $330 5%
Cca - Zing Health $330 5%
Central Valley Medical Services Corp Pace $330 5%
Champion Health Plan McR Advantage $330 5%
Clear Spring Health $330 5%
Clover Health $330 5%
Commonwealth Care Alliance $330 - $343 5%
Community Pace at Home $330 5%
Eddy Senior Care-Pace $330 5%
Eddy Seniorcare Pace $330 5%
Elementcare $330 5%
Evercare $330 5%
Everence $330 5%
Gateway Health Plan $330 5%
Genesys Pace of Genesee County $330 5%
Georgia Health Advantage $330 5%
Gold Advantage $330 5%
Gpa Croell Redi Mix $330 5%
Health America Advantra $330 5%
Highmark Health Options Dual Plan $330 5%
Hope Select Pace $330 5%
Horizon Nj Total Care $330 5%
Hudson Headwaters Pace $330 5%
Huron Valley Pace $330 5%
Innovative Integrated Health Community Plans $330 5%
Iowa Health Advantage $330 5%
Johns Hopkins Advantage Md $330 5%
Lasso Healthcare Msa $330 5%
Life St Marys Pace $330 5%
Lifecircles Pace $330 5%
Longevity Health Plan $330 5%
Longevity IPA of Michigan LLC Health Plan Isnp $330 5%
Martins Point Generations Advantage $330 5%
Mass General Brigham McR Adv $330 5%
Medicare (plans) $330 - $7,392 5%
Medipak Advantage $330 5%
Mercy Life $330 5%
Mercyone Cedar Valley $330 5%
Meridian Complete $330 5%
Michigan Complete Health $330 5%
Nascentia Health Plus $330 5%
New Centry Health Careplus $330 5%
Osu Prime Care Advantage $330 5%
Pace Cny $330 5%
Pace Iowa Immanuel Pathways $330 5%
Pace Southeast $330 5%
Pace-Trinity Health $330 5%
Peak Pace Solutions $330 5%
Perennial Advantage $330 5%
Preferred Care Partners $330 5%
Presbyterian Senior Plan $330 5%
Provider Partners Health Plan of Illinois $330 5%
Provider Partners Health Plan of Indiana $330 5%
Pruitthealth Premier $330 5%
Reliance Community Care Partners Care Resources Pace $330 5%
Rx Allwin $330 5%
Rx Grane Grnmedd $330 5%
Rx Retiree Rx Care $330 5%
Scan Health Plan McR IPA Meritage Oon $330 5%
Secure Horizons Ma Pffs $330 5%
Serenity Pace $330 5%
Siouxland Pace $330 5%
Solis Health Plans $330 5%
Sunnyview-Pace Finance Dept $330 5%
Texan Plus $330 5%
The Health Plan $330 5%
Thome Pace $330 5%
Todays Options $330 5%
Tribute Health Plans $330 5%
Um Health Advantage $330 5%
Union Health Service $330 5%
Welbe Health $330 5%
Wellmed $330 5%
Champva $333 5%
Tricare $333 5%
Triwest Health Alliance $333 5%
Veterans Eval Services $333 5%
Cca Senior Care Options $336 - $7,245 5%
Veterans Administration $336 5%
Us Family Health Plan $347 - $706 6%
Connecticut Dept of Correction $6,694 108%
Diversified Administrators $15,220 246%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 56 Franklin Street, Waterbury, CT 06706
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals