CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Newton Medical Center

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$7,208

about 1.2× the $6,176 Medicare rate · typically $6,310–$8,842

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,375

Below the fair price — a good deal

about $833 under the fair price · 1.0× Medicare

Medicare pays $6,176 Fair price $7,208 This hospital $6,375 Cash price $6,376 Hospital's list price $53,859

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

One of the lower prices — 6 of 8 other NJ hospitals charge more for the same procedure.

Cheapest $1,238 Priciest $6,504

Black dot = this hospital, among the 9 NJ hospitals with a price for this procedure. Full list below.

A fair price for a Gallbladder removal (laparoscopic) is about $7,208 (about 1.2× the $6,176 Medicare rate). Newton Medical Center charges insurers about $6,375, or about $6,376 in cash — below the fair price — a good deal. Located in Newton, NJ.

What each insurance company pays

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

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor	$6,375 - $11,952	103%
Aetnamajor	$6,375 - $8,925	103%
Cignamajor	$6,375	103%
Ambetter (Centene)	$6,375	103%
AmeriHealth	$6,375 - $17,874	103%
UPMC Health Plan	$6,375	103%
WellCare	$6,375	103%
+ 12 smaller / regional plans	$1,335 - $12,000

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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 6,376), 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 Newton Medical Center 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 Newton Medical Center

Compare: Gallbladder removal (laparoscopic) at other NJ hospitals

Insurance negotiated median for the same procedure, sorted lowest first.