CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: The University Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $6,655
Cash Discount Price: $7,654
vs. Medicare Baseline: 1.08x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at The University Hospital is $6,655. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,654. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.08x the Medicare baseline. Located in 150 Bergen St, Newark, NJ.

Cash / Self-Pay

$7,654

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,655

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: $7,654 (124%)

Insurance Median: $6,655 (108%)

Cash: $7,654 (124% of Medicare)

Ins. Median: $6,655 (108% 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
Horizon	$592 - $13,330	10%
Amerihealth	$2,400 - $6,655	39%
United	$4,843	78%
Aetna	$5,021 - $10,861	81%
Fidelis	$5,021 - $6,655	81%
UnitedHealthcare	$5,021 - $6,655	81%
Wellpoint	$5,121	83%
Clover Health	$6,655	108%
First Health	$11,972	194%
Americare	$12,827	208%
Qualcare	$12,827	208%
Correctional Medical Services	$13,682	222%
Multiplan	$13,682	222%
First Trenton	$15,393	249%
Managed Care Inc	$15,393	249%
Consumer Health Network	$16,248	263%
Three Rivers	$16,248	263%

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 $7,654.
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 The University Hospital 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.