CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Bayshore Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $8,230
  • Cash Discount Price: $6,458
  • vs. Medicare Baseline: 1.33x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Bayshore Medical Center is $8,230. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,458. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.33x the Medicare baseline. Located in 727 N Beers St, Holmdel, NJ.
Cash / Self-Pay
$6,458

Average discount available for prompt cash payment at this facility.

Insurance Median
$8,230

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: $6,458 (105%)
Insurance Median: $8,230 (133%)
Cash: $6,458 (105% of Medicare)
Ins. Median: $8,230 (133% 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
Aetna $1,800 - $8,592 29%
Clover $1,975 32%
Seoul Medical Group $2,052 33%
UnitedHealthcare $2,379 - $22,999 39%
Horizon $2,783 - $8,830 45%
Qualcare $6,256 - $9,656 101%
Blue Cross Blue Shield $6,458 105%
Vaccn $6,458 105%
Wellcare $6,458 105%
United Community/Americhoice $6,781 110%
Bergen Risk $8,230 133%
Cigna $8,778 - $9,864 142%
Multiplan - PHCS $9,327 151%
Brighton Health Plan $15,984 259%
Oxford $18,384 298%
Amerihealth $21,245 - $24,016 344%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 727 N Beers St, Holmdel, NJ 07733
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals