CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Heywood Hospital -

Billing Code: 47562 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$7,109

about 1.2× the $6,176 Medicare rate · typically $1,960–$8,425

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,109

About the fair price

1.2× Medicare

Medicare pays $6,176 Fair price $7,109 This hospital $7,109

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 $7,109

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 $7,109 (about 1.2× the $6,176 Medicare rate). Heywood Hospital - charges insurers about $7,109 — about the fair price. Located in Gardner, 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	$7,331	119%
Blue Cross Blue Shieldmajor	$8,278 - $8,483	134%
Aetnamajor	$2,660 - $6,297	43%
Cignamajor	$1,888	31%
Harvard Pilgrim	$10,291	167%
Tufts Health Plan	$5,320	86%
+ 2 smaller / regional plans	$6,297 - $9,446

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 Heywood Hospital - 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 Heywood Hospital -

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.