CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Carolina East Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $2,007
  • Cash Discount Price: $1,725
  • vs. Medicare Baseline: 0.32x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Carolina East Medical Center is $2,007. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,725. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.32x the Medicare baseline. Located in 2000 Neuse Blvd, New Bern, NC.
Cash / Self-Pay
$1,725

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,007

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: $1,725 (28%)
Insurance Median: $2,007 (32%)
Cash: $1,725 (28% of Medicare)
Ins. Median: $2,007 (32% 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

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Humana $586 9%
Inclusive Health (Nchirp)-All Plans $586 9%
Tricare $586 9%
Pamlico Co Jail-All Plans $765 12%
UnitedHealthcare $1,006 16%
Craven Co. Jail Systems - All Plans $1,057 17%
Medcost Ppo Employees And Retirees $1,888 31%
Medcost Ppo Ultra (Employees) $1,888 31%
Blue Cross Blue Shield $2,007 32%
Medcost Ppo City Employees $2,094 34%
Medcost Ppo County Employee $2,178 35%
Benefit Mgmt, Svcs-All Plans $2,444 40%
Medcost Benefit Svc-All Other Plans $2,541 41%
Aetna $2,547 41%
Acs Consult Svc Inc-All Plans $2,597 42%
Medcost Ppo Standard $2,597 42%
Cigna $2,616 42%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2000 Neuse Blvd, New Bern, NC 28560
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals