CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Overlook Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $6,770
Cash Discount Price: $7,785
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Overlook Medical Center is $6,770. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,785. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.10x the Medicare baseline. Located in 99 Beauvoir Avenue, Summit, NJ.

Cash / Self-Pay

$7,785

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,770

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: $7,785 (126%)

Insurance Median: $6,770 (110%)

Cash: $7,785 (126% of Medicare)

Ins. Median: $6,770 (110% 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
Wtc Health Program [5273]	$1,335	22%
Horizon Nj Health [5021]	$3,008	49%
Amerihealth [5008]	$5,253 - $6,049	85%
Aetna	$6,770 - $9,478	110%
Ambetter / Centene	$6,770	110%
Amerihealth Administrators Supplemental [5512]	$6,770	110%
Amerihealth Medigap [5049]	$6,770	110%
Blue Cross Blue Shield	$6,770	110%
Champva [5354]	$6,770	110%
Cigna	$6,770	110%
Claim Watcher/Homestead [5488]	$6,770	110%
Claimdoc [5434]	$6,770	110%
Cosmetic Surgery/Lap Band/Gastric Bypass [5289]	$6,770	110%
Fairos [5491]	$6,770	110%
Highmark Wholecare Health Plan Ip Splits [5464]	$6,770	110%
Highmark Wholecare Health Plan [5413]	$6,770	110%
Karen Ann Quinlan [5285]	$6,770	110%
Luminare Health AHS Retiree [5013]	$6,770	110%
Medicaid / KanCare	$6,770	110%
Medicare (plans)	$6,770 - $7,007	110%
Omc Pediatric Muscle Lengthening [5360]	$6,770	110%
Sedgwick Wtc Health Program Wc [5514]	$6,770	110%
Specialty Imaging [5433]	$6,770	110%
Tricare	$6,770	110%
UPMC [5455]	$6,770	110%
Us Family Health Plan [5258]	$6,770	110%
VA Community Care Network [5403]	$6,770	110%
Wellcare Behavioral Health [5335]	$6,770	110%
Wellcare Health Plans Ip Splits [5475]	$6,770	110%
Wellcare Health Plans [5269]	$6,770	110%
Amerihealth Caritas Vip Care Ip Splits [5460]	$6,837	111%
Amerihealth Caritas Vip Care [5313]	$6,837	111%
Kindred Giralda Hospital [5341]	$7,447	121%
Kessler Foundation [5532]	$12,000	194%

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 $7,785.
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 Overlook 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.