CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Albany Medical Center Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $904
Cash Discount Price: $1,640
vs. Medicare Baseline: 0.15x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Albany Medical Center Hospital is $904. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,640. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.15x the Medicare baseline. Located in 43 New Scotland Avenue, Mail Code 34, Albany, NY.

Cash / Self-Pay

$1,640

Average discount available for prompt cash payment at this facility.

Insurance Median

$904

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: $1,640 (27%)

Insurance Median: $904 (15%)

Cash: $1,640 (27% of Medicare)

Ins. Median: $904 (15% 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
Medicaid / KanCare	$334 - $621	5%
Cdphp	$418 - $8,402	7%
Medicare (plans)	$461 - $711	7%
Fidelis	$484 - $11,806	8%
Blue Cross Blue Shield	$507 - $8,340	8%
Tricare	$522 - $615	8%
Blue Shield Highmark	$552 - $1,311	9%
Hamaspik	$575 - $9,390	9%
Mvp	$587 - $6,559	10%
UnitedHealthcare	$615 - $10,633	10%
Aetna	$639 - $10,768	10%
Nascentia	$676	11%
Emblem Health Ghi	$682 - $1,334	11%
Nascentia Health Options	$866	14%
Emblem	$890 - $10,633	14%
Cigna	$916 - $1,109	15%
Nys Department Of Corrections	$1,422	23%
Blue Shield	$2,359 - $12,265	38%
Emblem_Ghi	$2,625 - $10,633	43%
Magnacare	$2,625 - $10,633	43%
Multiplan	$2,789 - $11,297	45%
Mvp Essential Plan	$6,891	112%
Empire Plan Nyship	$8,340	135%
Mvp Commercial	$10,873 - $14,297	176%

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 $1,640.
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 Albany Medical Center 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.