CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Jfk University Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $7,681
  • Cash Discount Price: $6,149
  • vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Jfk University Medical Center is $7,681. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,149. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.24x the Medicare baseline. Located in 65 James Street, Edison, NJ.
Cash / Self-Pay
$6,149

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,681

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: $6,149 (100%)
Insurance Median: $7,681 (124%)
Cash: $6,149 (100% of Medicare)
Ins. Median: $7,681 (124% 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 $1,767 - $10,692 29%
UnitedHealthcare $1,886 - $25,800 31%
Horizon $1,967 - $9,581 32%
Clover $1,975 32%
Seoul Medical Group $2,359 38%
Amerigroup $5,834 - $6,463 94%
Vaccn $5,834 - $6,463 94%
Wellcare $5,834 - $6,463 94%
United Community/Americhoice $6,126 - $6,787 99%
Blue Cross Blue Shield $6,463 105%
Activecare First McO $7,681 124%
Intergroup $7,681 124%
Bergen Risk $8,230 133%
Prime Health $8,778 142%
Qualcare $9,170 - $9,342 148%
Cigna $9,178 - $9,929 149%
Multiplan - PHCS $9,327 151%
Brighton Health Plan $15,984 259%
Amerihealth $16,291 - $18,099 264%
Oxford $20,656 334%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 65 James Street, Edison, NJ 08818
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals