CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Jamaica Hospital Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $7,322
  • Cash Discount Price: $5,644
  • vs. Medicare Baseline: 1.19x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Jamaica Hospital Medical Center is $7,322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,644. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.19x the Medicare baseline. Located in 89Th Avenue and Van Wyck Expressway, Jamaica, NY.
Cash / Self-Pay
$5,644

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,322

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: $5,644 (91%)
Insurance Median: $7,322 (119%)
Cash: $5,644 (91% of Medicare)
Ins. Median: $7,322 (119% 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
1999 National Benefit Fund $719 12%
Ghi $736 - $7,510 12%
World Trade Center Program $1,513 24%
Hotel Trades Council $1,912 31%
Create Health Plan $3,399 55%
Empire Blue Priority $3,606 58%
Empire $4,242 - $7,510 69%
Cigna $4,250 69%
UnitedHealthcare $4,364 - $7,510 71%
Hip $5,159 - $7,510 84%
Aetna $5,250 - $7,510 85%
Villagecaremax $6,268 101%
Healthfirst $6,383 103%
Centivo $6,434 104%
Oscar $6,987 113%
Fidelis $7,134 - $7,510 116%
Beacon Health Strategies $7,510 122%
Centerlight Healthcare $7,510 122%
Metroplus $7,510 - $8,260 122%
Elderplan $7,660 124%
Vns $7,660 124%
Wellcare Of Ny $7,810 126%
Magnacare $7,920 - $8,636 128%
Humana $7,960 129%
Senior Whole Health $7,960 129%
Hamaspik Choice $8,636 140%
Centers Plan For Healthy Living $9,387 152%
Emblemhealth $12,391 201%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 89Th Avenue and Van Wyck Expressway, Jamaica, NY 11418
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals