CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Kaleida Health

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $7,396
Cash Discount Price: $2,015
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Kaleida Health is $7,396. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,015. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.20x the Medicare baseline. Located in 100 High Street, Buffalo, NY.

Cash / Self-Pay

$2,015

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,396

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: $2,015 (33%)

Insurance Median: $7,396 (120%)

Cash: $2,015 (33% of Medicare)

Ins. Median: $7,396 (120% 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
Fidelis Care	$277	4%
Ghi/Emblem Health	$738 - $10,188	12%
Ghi/Emblem Health - Wchob	$738 - $922	12%
Aetna	$768 - $7,999	12%
Magnacare	$768 - $5,597	12%
Magnacare - Wchob	$768 - $5,597	12%
Univera	$1,080 - $10,517	17%
Univera - Wchob	$1,080 - $10,227	17%
Independent Health Association	$4,391 - $11,942	71%
Independent Health Association - Wchob	$4,555 - $12,236	74%
Blue Cross Blue Shield	$5,146 - $28,161	83%
Tricare	$7,169	116%
Wellcare	$7,848	127%
Fidelis	$8,150	132%
UnitedHealthcare	$8,188	133%
Cigna	$8,829 - $10,716	143%

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 $2,015.
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 Kaleida Health 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.