CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Cheshire Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $4,077
Cash Discount Price: $2,342
vs. Medicare Baseline: 0.66x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Cheshire Medical Center is $4,077. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,342. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.66x the Medicare baseline. Located in 580 Court Street, Keene, NH.

Cash / Self-Pay

$2,342

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,077

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: $2,342 (38%)

Insurance Median: $4,077 (66%)

Cash: $2,342 (38% of Medicare)

Ins. Median: $4,077 (66% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$405 - $6,096	7%
Amerihealth Caritas Nh	$447 - $1,039	7%
Granite State Health Plan	$447 - $1,417	7%
Wellsense Health Plan	$447 - $6,523	7%
Ambetter / Centene	$553 - $5,420	9%
Blue Cross Blue Shield	$553 - $19,785	9%
Cigna	$553 - $7,099	9%
Martin'S Point Generations Advantage	$553 - $6,096	9%
Martin'S Point Health Care	$553 - $6,096	9%
Mvp	$553 - $7,099	9%
UnitedHealthcare	$553 - $9,187	9%
Wellcare Health Plans	$553 - $6,096	9%
Harvard Pilgrim Health Care Of Ne	$1,808 - $11,164	29%
Maine Community Health Options	$3,819	62%
Tufts Health Plan	$3,823 - $5,417	62%
Mass General Brigham Health Plan	$3,938 - $8,487	64%
First Health/Hcvm	$7,214	117%
Phcs	$7,638	124%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,342.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 47562.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Cheshire Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 47562.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.