CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Southern Ocean Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $8,096
Cash Discount Price: $6,376
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Southern Ocean Medical Center is $8,096. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,376. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.31x the Medicare baseline. Located in 1140 Rt 72 W, Manahawkin, NJ.

Cash / Self-Pay

$6,376

Average discount available for prompt cash payment at this facility.

Insurance Median

$8,096

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: $6,376 (103%)

Insurance Median: $8,096 (131%)

Cash: $6,376 (103% of Medicare)

Ins. Median: $8,096 (131% 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	22%
Clover	$1,975	32%
Aetna	$2,030 - $9,383	33%
Seoul Medical Group	$2,249	36%
UnitedHealthcare	$2,379 - $23,291	39%
Horizon	$2,897 - $8,936	47%
Qualcare	$4,391 - $9,963	71%
Vaccn	$6,376	103%
Wellcare	$6,376	103%
Blue Cross Blue Shield	$6,376	103%
United Community/Americhoice	$6,695	108%
Bergen Risk	$8,230	133%
Cigna	$8,778 - $9,864	142%
Multiplan - PHCS	$9,327	151%
Brighton Health Plan	$15,984	259%
Oxford	$18,565	301%
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 $6,376.
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 Southern 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.