CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Saint Clare's Hospital/ Denville Campus

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$7,468

about 1.2× the $6,176 Medicare rate · typically $6,165–$8,954

modeled estimate · not a bill or quote

What this hospital charges insurers

$7,718

About the fair price

about $250 over the fair price · 1.2× Medicare

Medicare pays $6,176 Fair price $7,468 This hospital $7,718 Cash price $7,010 Hospital's list price $28,720

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Highest price of the 9 NJ hospitals we have prices for — worth calling around.

Cheapest $1,238 Priciest $7,718

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 $7,468 (about 1.2× the $6,176 Medicare rate). Saint Clare's Hospital/ Denville Campus charges insurers about $7,718, or about $7,010 in cash — about the fair price. Located in Denville, NJ.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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
UnitedHealthcaremajor	$5,161 - $8,190	84%
Blue Cross Blue Shieldmajor	$7,011	114%
Aetnamajor	$7,011 - $14,863	114%
Cignamajor	$10,835	175%
Humanamajor	$5,609	91%
AmeriHealth	$7,011	114%
Clover Health	$7,011	114%
MagnaCare	$5,151	83%
WellCare	$7,011 - $9,465	114%
+ 4 smaller / regional plans	$7,011 - $14,576

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

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 7,010), 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 Saint Clare's Hospital/ Denville Campus 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 Saint Clare's Hospital/ Denville Campus

Compare: Gallbladder removal (laparoscopic) at other NJ hospitals

St Joseph's University Medical Center Inc · Paterson $1,238
Cape Regional Medical Center Inc · Cape May Court House $6,139
Newton Medical Center · Newton $6,375
Shore Medical Center · Somers Point $6,376
Ocean Medical Center · Brick $6,376
Capital Health Regional Medical Center · Trenton $6,376
Centrastate Medical Center · Freehold $6,458
Jfk University Medical Center · Edison $6,463

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