CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Maimonides Medical Center

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $774
  • Cash Discount Price: $1,985
  • vs. Medicare Baseline: 0.13x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Maimonides Medical Center is $774. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,985. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.13x the Medicare baseline. Located in 4802 Tenth Avenue, Brooklyn, NY.
Cash / Self-Pay
$1,985

Average discount available for prompt cash payment at this facility.

Insurance Median
$774

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: $1,985 (32%)
Insurance Median: $774 (13%)
Cash: $1,985 (32% of Medicare)
Ins. Median: $774 (13% 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
Blue Cross Blue Shield $159 - $9,727 3%
Healthfirst $308 - $7,396 5%
Emblem Health - Hip $334 - $1,404 5%
Fidelis $357 - $1,490 6%
UnitedHealthcare $497 - $7,945 8%
United Community Plan $581 - $8,301 9%
Metroplus $611 - $9,056 10%
Aetna $622 - $7,547 10%
Healthfirst Early Start $635 10%
Wellcare $636 - $795 10%
Cigna $648 - $1,206 10%
Magnacare $650 - $9,222 11%
Visiting Nurse Svc Of Ny $674 - $754 11%
Local 1199 $719 - $5,485 12%
Elderplan $758 - $793 12%
Villagecare Maxx Fida $769 12%
Molina $793 - $811 13%
Emblem Health - Hip Vip $795 13%
Oxford Liberty $861 - $7,945 14%
Oxford Health Plan $1,267 - $7,945 21%
Emblem Health - Ghi $1,364 - $22,941 22%
Centivo $9,010 146%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4802 Tenth Avenue, Brooklyn, NY 11219
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals