CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Trinitas Regional Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $7,304
Cash Discount Price: $5,855
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Trinitas Regional Medical Center is $7,304. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,855. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.18x the Medicare baseline. Located in 225 Williamson Street, Elizabeth, NJ.

Cash / Self-Pay

$5,855

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,304

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: $5,855 (95%)

Insurance Median: $7,304 (118%)

Cash: $5,855 (95% of Medicare)

Ins. Median: $7,304 (118% 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
Wellpoint	$337 - $6,376	5%
Blue Cross Blue Shield	$2,137 - $26,682	35%
Aetna	$2,612 - $6,376	42%
Clover Health	$6,376	103%
Fidelis Care	$6,376	103%
Humana	$6,376	103%
UnitedHealthcare	$6,504 - $9,396	105%
Amerihealth	$7,304	118%
Cigna	$9,159 - $9,647	148%
Wellcare	$12,689	205%
Emblem Health	$12,753	206%

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 $5,855.
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 Trinitas Regional 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.