CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: The University of Vermont Health Network-Alice Hy

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $645
Cash Discount Price: $6,163
vs. Medicare Baseline: 0.10x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at The University of Vermont Health Network-Alice Hy is $645. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $6,163. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.10x the Medicare baseline. Located in 133 Park Street, Po Box 729, Malone, NY.

Cash / Self-Pay

$6,163

Average discount available for prompt cash payment at this facility.

Insurance Median

$645

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: $6,163 (100%)

Insurance Median: $645 (10%)

Cash: $6,163 (100% of Medicare)

Ins. Median: $645 (10% 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
Capital District Physicians' Health Plan	$418 - $1,001	7%
UnitedHealthcare	$430 - $9,020	7%
Fidelis Care	$522 - $707	8%
Humana	$522	8%
Mvp	$522 - $1,418	8%
Blue Cross Blue Shield	$575 - $18,879	9%
Aetna	$615 - $945	10%
Martins Point	$615	10%
Veterans Affairs Community Care Network	$615	10%
Choicecare	$636 - $827	10%
St. Regis	$1,294	21%
Magnacare	$4,930	80%
Highmark Blueshield	$6,040	98%

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 $6,163.
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 The University of Vermont Health Network-Alice Hy 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.