CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: St Catherine of Siena Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 47562
  • Insurance Median: $5,154
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.83x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at St Catherine of Siena Hospital is $5,154. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.83x the Medicare baseline. Located in 50 Route 25A, Smithtown, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,154

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%)
Insurance Median: $5,154 (83%)
Ins. Median: $5,154 (83% 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
Zadroga $1,511 24%
Brighton $2,175 - $5,066 35%
Affinity Health Plan $3,211 - $7,224 52%
Beacon Health Options $3,211 - $9,666 52%
Beacon Health Strategies $3,211 - $9,666 52%
Centerlight Healthcare $3,211 - $6,904 52%
Elderplan Inc. $3,211 - $6,904 52%
Emblem Health $3,211 - $6,904 52%
Fidelis Care New York $3,211 - $7,224 52%
Health First $3,211 - $15,534 52%
Health Plus $3,211 - $7,224 52%
Independent Health $3,211 - $6,904 52%
Medicaid / KanCare $3,211 52%
Mvp Health Plans $3,211 - $6,904 52%
Senior Whole Health $3,211 - $6,904 52%
UnitedHealthcare $3,211 - $7,224 52%
Blue Cross Blue Shield $3,917 - $6,904 63%
Local 1199 $3,945 64%
Aetna $4,150 - $6,904 67%
Mail Handlers Benefit Plan $4,940 80%
Meritain Health $4,940 80%
Nippon Life Insurance Company Of America $4,940 80%
Salvation Army $4,940 80%
Apwu $5,124 83%
Centivo $5,124 83%
Cigna $5,124 83%
Daniel H Cook $5,124 83%
Nalc $5,124 83%
Samba $5,124 83%
Self Pay $5,154 83%
American Plan Administrators $5,453 88%
Amerihealth Administrators $5,453 88%
Benefit Services $5,453 88%
Ghi Cbp Ny City Employee Alternate $5,453 88%
International Benefit Administrator $5,453 88%
Ultra Benefits Inc. $5,453 88%
Surest $5,826 94%
Centers Plan For Healthy Living $6,904 112%
Healthspring $6,904 112%
Liberty Health $6,904 112%
Longevity Health Plan $6,904 112%
Medicare (plans) $6,904 - $7,249 112%
Orthonet - Uniformed Services Family Health Plan $6,904 112%
Pmc $6,904 112%
Tricare $6,904 112%
Universal Healthcare $6,904 112%
Us Family Health Plan $6,904 112%
Veterans Affairs $6,904 112%
Humana $7,042 114%
Agewell New York $7,146 116%
Partners Health Plan $7,249 117%
Wellcare Health Plan Inc $7,595 123%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 50 Route 25A, Smithtown, NY 11787
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals