CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Memorial Hospital for Cancer and Allied Diseases

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $3,134
Cash Discount Price: $3,306
vs. Medicare Baseline: 0.51x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Memorial Hospital for Cancer and Allied Diseases is $3,134. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,306. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.51x the Medicare baseline. Located in 1275 York Ave, New York, NY.

Cash / Self-Pay

$3,306

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,134

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: $3,306 (54%)

Insurance Median: $3,134 (51%)

Cash: $3,306 (54% of Medicare)

Ins. Median: $3,134 (51% 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
Emblem	$334 - $3,276	5%
Magnacare	$657 - $4,560	11%
Urn	$711 - $4,446	12%
6 Degrees Health	$730 - $4,560	12%
Aetna	$764 - $9,748	12%
Fidelis	$764	12%
Healthfirst	$764 - $2,215	12%
Metroplus	$764	12%
Multiplan	$821 - $5,130	13%
Empire	$3,035 - $12,555	49%
Oxford	$3,649 - $18,569	59%
Cigna	$4,225 - $14,785	68%
UnitedHealthcare	$4,509 - $21,142	73%

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 $3,306.
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 Memorial Hospital for Cancer and Allied Diseases 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.