CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Columbia Memorial Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $782
Cash Discount Price: $1,612
vs. Medicare Baseline: 0.13x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Columbia Memorial Hospital is $782. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,612. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.13x the Medicare baseline. Located in 71 Prospect Avenue, Hudson, NY.

Cash / Self-Pay

$1,612

Average discount available for prompt cash payment at this facility.

Insurance Median

$782

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: $1,612 (26%)

Insurance Median: $782 (13%)

Cash: $1,612 (26% of Medicare)

Ins. Median: $782 (13% 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
UnitedHealthcare	$284 - $5,267	5%
Medicaid / KanCare	$334 - $3,205	5%
Mvp	$498 - $6,731	8%
Cdphp	$510 - $7,211	8%
Medicare (plans)	$533 - $711	9%
Blue Cross Blue Shield	$604 - $5,963	10%
Tricare	$604 - $711	10%
Hamaspik	$665 - $4,359	11%
Fidelis	$676 - $7,249	11%
Blue Shield Highmark	$722 - $773	12%
Aetna	$732 - $10,391	12%
Emblem	$890 - $2,781	14%
Cigna	$916 - $947	15%
Emblem Health Ghi	$974	16%
Mvp Commercial	$1,872	30%
Magnacare	$2,855	46%
Multiplan	$3,337	54%
Herrington Diversified Pdh	$3,708	60%
Empire Plan Nyship	$5,963	97%
Blue Shield	$7,432 - $10,035	120%

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 $1,612.
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 Columbia Memorial 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.