CMS Price Transparency Data

Gallbladder removal (laparoscopic)

Facility: Schuylkill Medical Center - South Jackson Street

Billing Code: 47562 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 47562
Insurance Median: $6,108
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.99x Medicare

The contracted insurance negotiated median rate for a Gallbladder removal (laparoscopic) at Schuylkill Medical Center - South Jackson Street is $6,108. 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 0.99x the Medicare baseline. Located in 420 South Jackson Street, Pottsville, PA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$6,108

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%)

Insurance Median: $6,108 (99%)

Ins. Median: $6,108 (99% 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
Aetna	$885 - $31,959	14%
Amerihealth Caritas	$892	14%
UnitedHealthcare	$916 - $5,993	15%
Geisinger	$923 - $14,024	15%
Highmark Wholecare/Gateway	$986	16%
Jefferson Health Partners	$1,048 - $11,525	17%
Pa Health & Wellness	$1,048	17%
Upmc	$1,277 - $28,064	21%
Blue Cross Blue Shield	$5,763	93%
Highmark Blue Shield	$5,878 - $18,221	95%
Amerihealth	$5,935	96%
Cigna	$5,935	96%
Devoted Health	$6,108	99%
Humana	$6,108	99%
Gateway	$6,166	100%
Emblem	$6,224 - $25,701	101%
Pa Health & Wellness (Allwell)	$6,339	103%
Ambetter / Centene	$17,478	283%
Valley Preferred	$33,605	544%

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 $X.
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 Schuylkill Medical Center - South Jackson Street 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.