CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Saratoga Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $676
  • Cash Discount Price: $9,062
  • vs. Medicare Baseline: 0.11x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Saratoga Hospital is $676. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $9,062. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.11x the Medicare baseline. Located in 211 Church Street, Saratoga Springs, NY.
Cash / Self-Pay
$9,062

Average discount available for prompt cash payment at this facility.

Insurance Median
$676

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: $9,062 (147%)
Insurance Median: $676 (11%)
Cash: $9,062 (147% of Medicare)
Ins. Median: $676 (11% 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
Medicaid / KanCare $334 - $621 5%
Cdphp $418 - $7,217 7%
Fidelis $461 - $7,217 7%
Medicare (plans) $461 - $615 7%
Blue Cross Blue Shield $486 - $10,874 8%
Tricare $522 - $615 8%
Hamaspik $575 - $9,390 9%
Mvp $587 - $1,109 10%
UnitedHealthcare $613 - $16,311 10%
Emblem Health Ghi $615 - $676 10%
Aetna $627 - $3,020 10%
Blue Shield Highmark $650 - $745 11%
Nascentia Health Options $866 14%
Emblem $890 - $9,666 14%
Cigna $916 - $1,109 15%
Blue Shield $3,077 - $7,824 50%
Mvp Essential Plan $3,208 - $6,415 52%
Mvp Govt Programs $3,208 52%
Mvp Commercial $11,336 - $12,686 184%
Empire Plan Nyship $12,686 205%
Multiplan $13,592 - $15,405 220%
Magnacare $16,311 - $17,217 264%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 211 Church Street, Saratoga Springs, NY 12866
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals