CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Falmouth Hospital

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$7,943

about 1.3× the $6,176 Medicare rate · typically $5,647–$10,190

modeled estimate · not a bill or quote

Medicare pays $6,176 Fair price $7,943 Cash price $2,441 Hospital's list price $5,743

How we calculate the fair BaseRate →

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield AetnaCignaHumanaKaiser 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	$7,318	118%
Blue Cross Blue Shieldmajor	$7,750 - $11,936	125%
Harvard Pilgrim	$9,517	154%
UniCare	$870	14%
WellSense	$18,895	306%
+ 4 smaller / regional plans	$4,001 - $17,448

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 2,441), 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 Falmouth 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 Falmouth 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.