CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Strong Memorial Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $1,108
Cash Discount Price: $7,176
vs. Medicare Baseline: 0.18x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Strong Memorial Hospital is $1,108. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,176. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.18x the Medicare baseline. Located in 601 Elmwood Ave, Rochester, NY.

Cash / Self-Pay

$7,176

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,108

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: $7,176 (116%)

Insurance Median: $1,108 (18%)

Cash: $7,176 (116% of Medicare)

Ins. Median: $1,108 (18% 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	$284 - $707	5%
UnitedHealthcare	$500 - $7,794	8%
Aetna	$522 - $8,041	8%
Excellus Bc/Bs [2201]	$522 - $1,139	8%
Medicare (plans)	$522 - $8,387	8%
Elderplan [1316]	$615	10%
Icircle [1728]	$615	10%
Martins Point [1205]	$615 - $7,547	10%
Nascentia [1729]	$615	10%
Humana	$621 - $8,238	10%
Highmark Bc/Bs Of Western Ny [5143]	$660 - $776	11%
Fidelis [5155]	$744 - $830	12%
Excellus Bc/Bs [2201], Bc/Bs Out Of Area [2401]	$809 - $2,118	13%
Independent Health [5156]	$967 - $1,170	16%
Mvp [2900]	$1,120 - $14,948	18%
Cigna	$1,465 - $14,948	24%
Capital District Physicians Health Plan (Cdphp) [5149]	$1,603 - $2,144	26%
Blue Cross Blue Shield	$7,547 - $13,167	122%

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 $7,176.
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 Strong Memorial 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.