CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Flushing Hospital Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $7,322
Cash Discount Price: $7,112
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Flushing Hospital Medical Center is $7,322. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,112. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.19x the Medicare baseline. Located in 45Th Avenue and Parsons Boulevard, Flushing, NY.

Cash / Self-Pay

$7,112

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,322

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: $7,112 (115%)

Insurance Median: $7,322 (119%)

Cash: $7,112 (115% of Medicare)

Ins. Median: $7,322 (119% 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
1199 National Benefit Fund	$719 - $4,001	12%
Ghi	$736 - $7,510	12%
Hotel Trades Council	$1,912	31%
Empire Blue Priority	$3,347	54%
UnitedHealthcare	$3,441 - $7,510	56%
Empire	$3,938 - $7,510	64%
Cigna	$4,250 - $7,102	69%
Create Health Plan	$4,338	70%
Hip	$5,159 - $7,510	84%
Aetna	$5,331 - $7,510	86%
Villagecaremax	$6,268	101%
Healthfirst	$6,383	103%
Centivo	$6,434	104%
Oscar	$6,987	113%
Fidelis	$7,134 - $7,510	116%
Beacon Health Strategies	$7,510	122%
Centerlight Healthcare	$7,510	122%
Metroplus	$7,510 - $8,260	122%
Humana	$7,585 - $7,960	123%
Elderplan	$7,660	124%
Vns	$7,660	124%
Wellcare Of Ny	$7,810	126%
Magnacare	$7,920 - $8,636	128%
Senior Whole Health	$7,960	129%
Elderserve Health	$8,636	140%
Hamaspik Choice	$8,636	140%
Centers Plan For Healthy Living	$9,011	146%
Emblemhealth	$11,715	190%

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 $7,112.
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 Flushing Hospital Medical Center 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.