CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Montefiore Mount Vernon Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $7,547
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.22x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Montefiore Mount Vernon Hospital is $7,547. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.22x the Medicare baseline. Located in 12 North 7Th Avenue, Mount Vernon, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,547

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%)
Insurance Median: $7,547 (122%)
Ins. Median: $7,547 (122% 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
Healthfirst $568 - $7,547 9%
American Postal Workers $682 - $21,425 11%
UnitedHealthcare $682 - $21,425 11%
Metroplus $777 - $9,810 13%
Oscar $3,549 - $7,276 57%
Blue Cross Blue Shield $5,056 - $13,405 82%
Aetna $5,250 - $5,873 85%
Fidelis $7,547 122%
Point Comfort $7,547 122%
Villagecaremax $7,547 122%
Vnsny Choice $7,547 122%
Wellcare $7,697 125%
Centerlight $7,773 - $8,301 126%
Elderplan $7,773 126%
Partners Health Plan $7,924 128%
Longevity $8,226 133%
Mvp $8,296 134%
Humana $8,301 134%
Emblem $9,056 - $18,107 147%
Molina Healthcare Of Ny Affinity $10,414 169%
Northwell $20,300 329%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 12 North 7Th Avenue, Mount Vernon, NY 10550
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals