CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: NYU Langone Hospitals

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $8,091
Cash Discount Price: $1,971
vs. Medicare Baseline: 1.31x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at NYU Langone Hospitals is $8,091. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,971. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.31x the Medicare baseline. Located in 550 First Avenue, New York, NY.

Cash / Self-Pay

$1,971

Average discount available for prompt cash payment at this facility.

Insurance Median

$8,091

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: $1,971 (32%)

Insurance Median: $8,091 (131%)

Cash: $1,971 (32% of Medicare)

Ins. Median: $8,091 (131% 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
Healthfirst	$2,425 - $7,920	39%
Amida	$3,520	57%
Fidelis	$3,520 - $7,920	57%
Healthplus	$3,520 - $7,920	57%
Hip	$3,520 - $16,477	57%
Medicaid / KanCare	$3,520	57%
Metroplus	$3,520 - $13,670	57%
UnitedHealthcare	$3,520 - $52,238	57%
Somos	$3,696 - $4,752	60%
Ghi	$4,846 - $12,574	78%
Medicare (plans)	$6,904	112%
Wellcare	$6,904	112%
Centerlight	$7,042	114%
Multiplan	$8,091	131%
Aetna	$10,373 - $27,820	168%
Oxford	$10,753 - $43,497	174%
Magnacare	$13,453 - $47,730	218%
1199	$13,496 - $15,878	219%
Hamaspik	$13,808 - $20,746	224%
Blue Cross Blue Shield	$14,894 - $18,617	241%
Oscar	$25,500	413%
Cigna	$30,168	488%

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 $1,971.
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 NYU Langone Hospitals 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.