CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Raritan Bay Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $7,993
  • Cash Discount Price: $6,463
  • vs. Medicare Baseline: 1.29x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Raritan Bay Medical Center is $7,993. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,463. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.29x the Medicare baseline. Located in 530 New Brunswick Ave, Perth Amboy, NJ.
Cash / Self-Pay
$6,463

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,993

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: $6,463 (105%)
Insurance Median: $7,993 (129%)
Cash: $6,463 (105% of Medicare)
Ins. Median: $7,993 (129% 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
Karna $1,409 23%
Aetna $1,459 - $8,592 24%
Clover $1,975 32%
Seoul Medical Group $2,271 37%
UnitedHealthcare $2,379 - $23,041 39%
Horizon $2,577 - $9,102 42%
Activecare First McO $2,915 47%
Qualcare $5,366 - $9,347 87%
Vaccn $6,463 105%
Wellcare $6,463 105%
Blue Cross Blue Shield $6,463 105%
United Community/Americhoice $6,787 110%
Amerigroup $6,916 112%
Bergen Risk $8,230 133%
Cigna $8,778 - $9,864 142%
Multiplan - PHCS $9,327 151%
Amerihealth $11,649 - $13,016 189%
Brighton Health Plan $15,984 259%
Oxford $18,226 295%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 530 New Brunswick Ave, Perth Amboy, NJ 08861
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals