CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Ocean Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $7,841
Cash Discount Price: $6,105
vs. Medicare Baseline: 1.27x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Ocean Medical Center is $7,841. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,105. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.27x the Medicare baseline. Located in 425 Jack Martin Blvd, Brick, NJ.

Cash / Self-Pay

$6,105

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,841

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: $6,105 (99%)

Insurance Median: $7,841 (127%)

Cash: $6,105 (99% of Medicare)

Ins. Median: $7,841 (127% 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
Karna	$1,371 - $1,409	22%
Aetna	$1,558 - $10,692	25%
Horizon	$1,967 - $10,671	32%
Clover	$1,975	32%
Seoul Medical Group	$2,129 - $2,359	34%
UnitedHealthcare	$2,379 - $24,438	39%
Amerigroup	$5,834	94%
Vaccn	$5,834 - $6,376	94%
Wellcare	$5,834 - $6,376	94%
United Community/Americhoice	$6,126 - $6,695	99%
Qualcare	$6,256 - $9,656	101%
Blue Cross Blue Shield	$6,376	103%
Activecare First McO	$7,681 - $9,327	124%
Intergroup	$7,681	124%
Bergen Risk	$8,230	133%
Prime Health	$8,778	142%
Cigna	$9,178 - $9,929	149%
Multiplan - PHCS	$9,327	151%
Brighton Health Plan	$15,984	259%
Oxford	$18,419	298%
Amerihealth	$21,245 - $24,016	344%

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 $6,105.
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 Ocean 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.