CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Ocean Medical Center

Billing Code: 47562 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$7,064

about 1.1× the $6,176 Medicare rate · typically $6,335–$9,207

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,376

About the fair price

about $688 under the fair price · 1.0× Medicare

Medicare pays $6,176 Fair price $7,064 This hospital $6,376 Cash price $6,105 Hospital's list price $10,973

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 3 charge more and 3 charge less, among the 9 NJ hospitals compared.

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 $7,064 (about 1.1× the $6,176 Medicare rate). Ocean Medical Center charges insurers about $6,376, or about $6,105 in cash — about the fair price. Located in Brick, NJ.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna HumanaKaiser 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	$2,379 - $24,438	39%
Blue Cross Blue Shieldmajor	$6,376	103%
Aetnamajor	$1,558 - $10,692	25%
Cignamajor	$9,178 - $9,929	149%
Amerigroup	$5,834	94%
AmeriHealth	$21,245 - $24,016	344%
Clover Health	$1,975	32%
WellCare	$5,834 - $6,376	94%
+ 9 smaller / regional plans	$1,371 - $18,419

Government programs also on file: Military & VA.

Excludes 2 rental-network / third-party entries (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 6,105), 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 Ocean 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 Ocean Medical Center

Compare: Gallbladder removal (laparoscopic) at other NJ hospitals

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