CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Glens Falls Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $718
Cash Discount Price: $2,951
vs. Medicare Baseline: 0.12x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Glens Falls Hospital is $718. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,951. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.12x the Medicare baseline. Located in 100 Park Street, Glens Falls, NY.

Cash / Self-Pay

$2,951

Average discount available for prompt cash payment at this facility.

Insurance Median

$718

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: $2,951 (48%)

Insurance Median: $718 (12%)

Cash: $2,951 (48% of Medicare)

Ins. Median: $718 (12% 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
Medicaid / KanCare	$334 - $621	5%
Cdphp	$418 - $7,230	7%
Medicare (plans)	$461 - $615	7%
UnitedHealthcare	$461 - $8,517	7%
Blue Cross Blue Shield	$486 - $7,797	8%
Emblem Health Ghi	$522 - $615	8%
Tricare	$522 - $615	8%
Mvp	$587 - $6,748	10%
Aetna	$615 - $6,973	10%
Fidelis	$615 - $7,230	10%
Blue Shield Highmark	$650 - $730	11%
Blue Shield	$834 - $7,889	14%
Cigna	$916 - $1,109	15%
Magnacare	$2,000	32%
Emblem	$4,764	77%
Hamaspik	$4,766	77%
Nascentia Health Options	$4,766	77%
Multiplan	$5,782 - $9,978	94%
Empire Plan Nyship	$7,797	126%
Mvp Commercial	$10,060 - $11,897	163%

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 $2,951.
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 Glens Falls 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.