CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Long Island Community Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $6,057
  • Cash Discount Price: $1,349
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Long Island Community Hospital is $6,057. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,349. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.98x the Medicare baseline. Located in 101 Hospital Road, Patchogue, NY.
Cash / Self-Pay
$1,349

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,057

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: $1,349 (22%)
Insurance Median: $6,057 (98%)
Cash: $1,349 (22% of Medicare)
Ins. Median: $6,057 (98% 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
Local 1199 $2,749 45%
Magellan $3,573 58%
Multiplan $3,573 58%
Oscar Health Exchange $3,738 61%
Coventry $4,068 66%
Longevity Health $4,398 71%
Emblem $4,434 72%
Galaxy $4,948 80%
Aarp $5,498 89%
Aetna $5,498 - $10,035 89%
Beacon Health Options $5,498 89%
Blue Cross Blue Shield $5,498 - $15,024 89%
Centerlight $5,498 89%
Cigna $5,498 - $28,064 89%
Emblem Ghi $5,498 89%
Fidelis $5,498 89%
Humana $5,498 89%
Integra $5,498 89%
Medicare (plans) $5,498 89%
UnitedHealthcare $5,498 - $8,635 89%
Agewell $5,690 92%
Elderplan Inc. $6,047 98%
Wellcare $6,047 98%
Nexus Nyu $7,771 126%
Empire Mediblue $10,373 - $15,024 168%
Magnacare $10,373 - $44,859 168%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 101 Hospital Road, Patchogue, NY 11772
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals