CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Saint Vincent Hospital

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $751
Cash Discount Price: $336
vs. Medicare Baseline: 0.12x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Saint Vincent Hospital is $751. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $336. Compared to the federal Medicare reimbursement reference rate of $6,176.47, this hospital’s rate is 0.12x the Medicare baseline. Located in 232 West 25Th Street, Erie, PA.

Cash / Self-Pay

$336

Average discount available for prompt cash payment at this facility.

Insurance Median

$751

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: $336 (5%)

Insurance Median: $751 (12%)

Cash: $336 (5% of Medicare)

Ins. Median: $751 (12% 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
Univera	$67 - $785	1%
Amerihealth	$124 - $6,665	2%
Pennsylvania Health And Wellness	$156 - $1,164	3%
Geisinger	$171 - $1,242	3%
UnitedHealthcare	$171 - $171,452	3%
Highmark	$710 - $9,260	11%
Aetna	$854 - $12,924	14%
University Of Pittsburgh Medical Center	$892 - $6,348	14%
Cigna	$1,055 - $13,544	17%
Highmark Wholecare	$1,071 - $6,728	17%
Jefferson Health Plans	$1,187	19%
American Health Plans	$6,348	103%
Life Pittsburgh	$6,348	103%
Martin'S Point	$6,348	103%
Medicare (plans)	$6,538	106%
Blue Cross Blue Shield	$6,665 - $10,004	108%
Humana	$6,728	109%
Molina	$6,919	112%
Medical Mutual	$13,544	219%

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 $336.
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 Saint Vincent 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.