CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 47562 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$6,982

about 1.1× the $6,176 Medicare rate · typically $2,090–$7,743

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,335

About the fair price

about $353 over the fair price · 1.2× Medicare

Medicare pays $6,176 Fair price $6,982 This hospital $7,335 Cash price $21,593 Hospital's list price $21,593

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

Highest price of the 9 MA hospitals we have prices for — worth calling around.

Cheapest $2,035 Priciest $7,335

Black dot = this hospital, among the 9 MA hospitals with a price for this procedure. Full list below.

A fair price for a Gallbladder removal (laparoscopic) is about $6,982 (about 1.1× the $6,176 Medicare rate). UMass Memorial Healthalliance Hospitals charges insurers about $7,335, or about $21,593 in cash — about the fair price. Located in Leominster, MA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$7,702 - $7,848	125%
Blue Cross Blue Shieldmajor	$4,794 - $7,578	78%
Aetnamajor	$7,702	125%
Cignamajor	$6,193 - $13,451	100%
Harvard Pilgrim	$4,136 - $7,702	67%
Tufts Health Plan	$5,630 - $12,477	91%
+ 7 smaller / regional plans	$294 - $7,848

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

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 (about 21,593), 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 UMass Memorial Healthalliance Hospitals 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.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at UMass Memorial Healthalliance Hospitals

Compare: Gallbladder removal (laparoscopic) at other MA hospitals

Metrowest Medical Center · Framingham $2,035
St Vincent Hospital · Worcester $2,035
Beth Israel Deaconess Hospital - Milton · Milton $5,062
Cambridge Health Alliance · Cambridge $5,256
South Shore Hospital · South Weymouth $5,850
Emerson Hospital - · W Concord $6,176
Milford Regional Medical Center · Milford $6,479
Signature Healthcare Brockton Hospital · Brockton $7,067

Insurance negotiated median for the same procedure, sorted lowest first.