CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Elmhurst Hospital Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $4,472
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.72x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Elmhurst Hospital Center is $4,472. 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 0.72x the Medicare baseline. Located in 79-01 Broadway, Elmhurst, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,472

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: $4,472 (72%)
Ins. Median: $4,472 (72% 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 $566 - $7,222 9%
Aetna $781 - $5,402 13%
Wellcare $814 13%
Fidelis $1,086 - $9,804 18%
Metroplus $1,200 - $7,222 19%
Amidacare $3,210 52%
Blue Cross Blue Shield $3,210 - $7,222 52%
Carelon $3,210 - $10,614 52%
Senior Whole Health $3,210 52%
United $3,210 - $6,042 52%
United Behavioral Health $3,210 - $3,531 52%
Affinity $3,274 - $7,222 53%
Carelon (Amida Care) $3,274 53%
Vnsny $3,274 - $6,904 53%
Oxford $4,313 - $4,894 70%
Oscar $4,454 72%
Emblem $4,815 - $8,630 78%
Local 1199 $5,204 84%
Cigna $5,356 87%
Elderplan $6,904 112%
Vaccn $6,904 112%
Centers Plan For Healthy Living $7,180 116%
Centerlight $8,165 132%
Magnacare $12,247 198%
Multiplan $13,064 212%
Villagecare Max $13,880 225%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 79-01 Broadway, Elmhurst, NY 11373
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals