CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Centrastate Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,458
  • Cash Discount Price: $7,883
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Centrastate Medical Center is $6,458. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,883. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.05x the Medicare baseline. Located in 901 West Main Street, Freehold, NJ.
Cash / Self-Pay
$7,883

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,458

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: $7,883 (128%)
Insurance Median: $6,458 (105%)
Cash: $7,883 (128% of Medicare)
Ins. Median: $6,458 (105% 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
Wtc Health Program [5273] $1,303 21%
Horizon Nj Health [5021] $2,146 35%
Aetna $6,458 - $9,041 105%
Ambetter / Centene $6,458 105%
Amerihealth Administrators Supplemental [5512] $6,458 105%
Amerihealth Medigap [5049] $6,458 105%
Blue Cross Blue Shield $6,458 105%
Champva [5354] $6,458 105%
Cigna $6,458 105%
Claim Watcher/Homestead [5488] $6,458 105%
Claimdoc [5434] $6,458 105%
Compassionate Care [5442] $6,458 105%
Cosmetic Surgery/Lap Band/Gastric Bypass [5289] $6,458 105%
Cs Card Rehab Cash Pay [5497] $6,458 105%
Cs Nutrition Consult-Initial and Follow Up [5493] $6,458 105%
Cs Pulmonary Rehab Cash Pay [5496] $6,458 105%
Cs Radiology Cash Pay [5498] $6,458 105%
Cs Rehab Cash Pay [5495] $6,458 105%
Cs Sports Performance Eval and Visits [5494] $6,458 105%
Fairos [5491] $6,458 105%
Highmark Wholecare Health Plan Ip Splits [5464] $6,458 105%
Highmark Wholecare Health Plan [5413] $6,458 105%
Medicaid / KanCare $6,458 105%
Medicare (plans) $6,458 - $6,684 105%
Sedgwick Wtc Health Program Wc [5514] $6,458 105%
Specialty Imaging [5433] $6,458 105%
Tricare $6,458 105%
UPMC [5455] $6,458 105%
Us Family Health Plan [5258] $6,458 105%
Us Marshall Service [5429] $6,458 105%
VA Community Care Network [5403] $6,458 105%
Wellcare Behavioral Health [5335] $6,458 105%
Wellcare Health Plans Ip Splits [5475] $6,458 105%
Wellcare Health Plans [5269] $6,458 105%
Amerihealth Caritas Vip Care Ip Splits [5460] $6,522 106%
Amerihealth Caritas Vip Care [5313] $6,522 106%
Kessler Foundation [5532] $12,000 194%
Amerihealth [5008] $17,874 289%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 901 West Main Street, Freehold, NJ 07728
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals