CMS Price Transparency Data
Gallbladder removal (laparoscopic)
Facility: Physicians Care Surgical Hospital
Billing Code: 47562 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 47562
- Insurance Median: $11,524
- Cash Discount Price: $7,282
- vs. Medicare Baseline: 1.87x Medicare
The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Physicians Care Surgical Hospital is $11,524. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,282. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 1.87x the Medicare baseline. Located in 454 Enterprise Drive, Royersford, PA.
Cash / Self-Pay
$7,282
Average discount available for prompt cash payment at this facility.
Insurance Median
$11,524
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: $7,282 (118%)
Insurance Median: $11,524 (187%)
Cash: $7,282 (118% of Medicare)
Ins. Median: $11,524 (187% 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
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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 | $900 - $2,850 | 15% |
| Keystone First Vip Choice | $900 - $2,850 | 15% |
| Keystone First | $900 - $2,850 | 15% |
| PA Health and Wellness | $900 - $2,850 | 15% |
| Keystone First Healthplan | $900 - $2,850 | 15% |
| Straight Access | $900 - $2,850 | 15% |
| Humana | $2,193 - $12,772 | 36% |
| Tricare | $2,193 - $12,772 | 36% |
| UPMC | $4,031 - $19,295 | 65% |
| Central PA Teamsters | $5,006 - $21,231 | 81% |
| Connecticare | $5,055 - $19,575 | 82% |
| Geha | $5,156 - $23,230 | 83% |
| Coventry | $5,156 - $23,230 | 83% |
| Healthez | $5,156 - $23,230 | 83% |
| Meritain Health | $5,156 - $23,230 | 83% |
| Marpai Health | $5,156 - $23,230 | 83% |
| Premier Care Network | $5,156 - $23,230 | 83% |
| Ag Administrators | $5,156 - $23,230 | 83% |
| Allied Benefits Systems | $5,156 - $23,230 | 83% |
| Ag Administrators Inc | $5,156 - $23,230 | 83% |
| Lucent Health | $5,156 - $23,230 | 83% |
| Continental Benefits | $5,156 - $23,230 | 83% |
| Allied Benefit Systems | $5,156 - $23,230 | 83% |
| Aetna | $5,156 - $23,230 | 83% |
| Trustmark | $5,156 - $23,230 | 83% |
| Medicare (plans) | $5,432 - $12,772 | 88% |
| Vibra Health Plan | $5,432 - $12,772 | 88% |
| Shenandoah Life | $5,432 - $12,772 | 88% |
| Cigna | $5,432 - $18,977 | 88% |
| Personal Choice 65 | $5,432 - $12,363 | 88% |
| UnitedHealthcare | $5,432 - $27,099 | 88% |
| Unified Health Services | $5,432 - $12,772 | 88% |
| Devon Health Services | $5,432 - $12,772 | 88% |
| Gpm Health and Life Insurance Mc Supplement | $5,432 - $12,772 | 88% |
| Blue Cross Blue Shield | $5,432 - $23,941 | 88% |
| Aarp | $5,432 - $12,772 | 88% |
| Keystone 65 HMO | $5,432 - $12,772 | 88% |
| Pcsh Aarp | $5,432 - $12,772 | 88% |
| Ibc Security 65 | $5,432 - $12,363 | 88% |
| Nalc Health | $5,455 - $18,977 | 88% |
| Cwi Benefits | $5,455 - $18,977 | 88% |
| Healthgram | $5,455 - $18,977 | 88% |
| Loomis | $5,455 - $18,977 | 88% |
| Apwu | $5,455 - $18,977 | 88% |
| Health Partners | $5,455 - $18,977 | 88% |
| Freedom Life Insurance Company | $5,455 - $18,977 | 88% |
| Sana Benefits | $5,455 - $18,977 | 88% |
| Independence Administrators | $5,866 - $18,753 | 95% |
| Ibc 2021 | $5,866 - $18,753 | 95% |
| Ibc | $5,866 - $18,753 | 95% |
| Personal Choice | $5,866 - $18,753 | 95% |
| Amerihealth Administrators | $5,866 - $18,753 | 95% |
| Empire Plan | $5,866 - $18,753 | 95% |
| Pcsh Ibc | $5,866 - $18,753 | 95% |
| Amerihealth New Jersey HMO | $5,866 - $18,753 | 95% |
| Keystone Direct POS | $5,866 - $18,753 | 95% |
| Ibc - Local | $5,866 - $18,753 | 95% |
| Ibc Local | $5,866 - $18,753 | 95% |
| Regence Blue Shield | $5,866 - $18,753 | 95% |
| Keystone Healthplan East | $5,866 - $18,753 | 95% |
| Carefirst Administrators | $5,866 - $18,753 | 95% |
| Keystone HMO | $5,866 - $18,753 | 95% |
| Independence Bc | $5,866 - $18,753 | 95% |
| Horizon of New Jersey | $5,866 - $18,753 | 95% |
| Independence Federal | $5,866 - $18,753 | 95% |
| Highmark | $10,177 - $23,941 | 165% |
| Surest | $11,524 - $27,099 | 187% |
| Oxford Life Insurance Company | $11,524 - $27,099 | 187% |
| Allsavers | $11,524 - $27,099 | 187% |
| Golden Rule Op | $11,524 - $27,099 | 187% |
| Oxford Health Plan | $11,524 - $27,099 | 187% |